Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06804 | Date 16/05/2024 |
| Token No | SM/24-25/22026 16/05/2024 | Serial | 057 |
| Patient Name | Mrs. JHUMKI DEBNATH DEB | Contact No | 9339051962 |
| Address | 8A/2/41 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||