Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08161 | Date 06/11/2024 |
| Token No | SM/24-25/31815 26/11/2024 | Serial | 031 |
| Patient Name | Mrs. ALOKA PAL | Contact No | 9007027185 |
| Address | 65/19/A/1 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||