Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07063 | Date 20/06/2024 |
| Token No | SM/24-25/23442 20/06/2024 | Serial | 070 |
| Patient Name | Mrs. MIRA CHATTERJEE | Contact No | 9836655140 |
| Address | 65/3/B CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||