Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06265 | Date 12/02/2024 |
| Token No | SM/24-25/28153 12/09/2024 | Serial | 031 |
| Patient Name | Miss ARPITA DAS | Contact No | 7278943099 |
| Address | 26/E/C D N BHATTACHARJEE SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||