Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05961 | Date 28/12/2023 |
| Token No | SM/24-25/30444 31/10/2024 | Serial | 013 |
| Patient Name | Mrs. SHILA DUTTA PAL | Contact No | 9674013836 |
| Address | 10A/2 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||