Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08404 | Date 17/12/2024 |
| Token No | SM/24-25/32981 19/12/2024 | Serial | 034 |
| Patient Name | Mrs. PRITIKA BHATTACHARJEE | Contact No | 7044128326 |
| Address | 30/F TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 190/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||