Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06365 | Date 01/03/2024 |
| Token No | SM/22-23/19259 01/03/2024 | Serial | 020 |
| Patient Name | Miss MAUSUMI MAJUMDER | Contact No | 9073157022 |
| Address | 65/2537/ GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||