Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05857 | Date 13/12/2023 |
| Token No | SM/22-23/19643 09/03/2024 | Serial | 034 |
| Patient Name | Mrs. MAMATA DEBNATH | Contact No | 7890782624 |
| Address | 43/27A/1 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||