Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08282 | Date 25/11/2024 |
| Token No | SM/24-25/31732 25/11/2024 | Serial | 030 |
| Patient Name | Miss SUDIPA DUTTA | Contact No | 8910857095 |
| Address | 65/11 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||