Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07787 | Date 31/08/2024 |
| Token No | SM/24-25/27508 02/09/2024 | Serial | 044 |
| Patient Name | Mrs. KINKINI PAL DAS | Contact No | 7890027845 |
| Address | 65/25/24 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||