Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06415 | Date 12/03/2024 |
| Token No | SM/24-25/35491 10/02/2025 | Serial | 062 |
| Patient Name | Miss TRISIKA DUTTA | Contact No | 9874943680 |
| Address | 65/11 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||