Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05886 | Date 18/12/2023 |
| Token No | SM/24-25/30096 25/10/2024 | Serial | 008 |
| Patient Name | Miss SUITY DAS | Contact No | 7980938169 |
| Address | 21/D/1 DINEN BHATTACHARYA SARANI SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||