Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07312 | Date 02/07/2024 |
| Token No | SM/24-25/25020 16/07/2024 | Serial | 021 |
| Patient Name | Mrs. CHHAYARANI DEY | Contact No | 9433412058 |
| Address | 65/25/27 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 68 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||