Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08573 | Date 17/01/2025 |
| Token No | SM/24-25/35635 14/02/2025 | Serial | 006 |
| Patient Name | Mrs. NANDITA PAUL | Contact No | 8420864197 |
| Address | 34/41/B SUKANTA PALLY SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||