Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08254 | Date 21/11/2024 |
| Token No | SM/24-25/31570 21/11/2024 | Serial | 061 |
| Patient Name | Baby SAMPURNA CHAKRABORTY | Contact No | 7003091265 |
| Address | 65/25/13/A PRAVASHNAGAR SERAMPORE 712249 | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||