Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08581 | Date 18/01/2025 |
| Token No | SM/24-25/34328 18/01/2025 | Serial | 031 |
| Patient Name | Mrs. PRITI JHA | Contact No | 9073139422 |
| Address | SWARNA KUTHI II 4 L 3 RD FLOOR 192 B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||