Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07479 | Date 18/07/2024 |
| Token No | SM/24-25/31708 25/11/2024 | Serial | 006 |
| Patient Name | Mrs. PRIYA DAS ROY | Contact No | 6289797794 |
| Address | 16/J D N BHATTACHARYA SARANI PRAVAHNAGAR SERAMPORE 712249 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||