Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06972 | Date 11/06/2024 |
| Token No | SM/24-25/29283 07/10/2024 | Serial | 095 |
| Patient Name | Mrs. PUJA CHOUDHARY | Contact No | 6289371798 |
| Address | 9/371/H B B GHOSH ROAD 24 ER PALLY SERAMPORE M 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||