Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08353 | Date 05/12/2024 |
| Token No | SM/24-25/32715 12/12/2024 | Serial | 053 |
| Patient Name | Mrs. MOUPRIYA ADHIKARY | Contact No | 6289493234 |
| Address | 26/F/3 D N BHATTACHARYA SARANI PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||