Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07929 | Date 21/09/2024 |
| Token No | SM/24-25/28543 21/09/2024 | Serial | 016 |
| Patient Name | Miss SURABI KARMAKAR | Contact No | 8444038742 |
| Address | 65/24/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||