Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07455 | Date 18/07/2024 |
| Token No | SM/24-25/25070 18/07/2024 | Serial | 024 |
| Patient Name | Mrs. BHARATI SARKAR | Contact No | 9681466896 |
| Address | 8/A/2/14/A D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||