Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01816 | Date 03/06/2022 |
| Token No | SM/24-25/27692 04/09/2024 | Serial | 075 |
| Patient Name | Mrs. SAGARIKA SAHA | Contact No | 8017328621 |
| Address | 34/B/54 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||