Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07908 | Date 18/09/2024 |
| Token No | SM/24-25/28359 18/09/2024 | Serial | 061 |
| Patient Name | Mrs. RATNA CHAKRABORTY | Contact No | 8910488431 |
| Address | 20A/3 B B GHOSH ROAD SERAMPORE 712249 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||