Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06611 | Date 22/04/2024 |
| Token No | SM/24-25/21007 22/04/2024 | Serial | 051 |
| Patient Name | Mrs. TUKU DASGUPTA | Contact No | 8420924099 |
| Address | 10/A/3 D N BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE | Age | 76 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||