Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07285 | Date 01/07/2024 |
| Token No | SM/24-25/24568 06/07/2024 | Serial | 039 |
| Patient Name | Mrs. SABITA DAS | Contact No | 8910373862 |
| Address | 125/A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||