Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07201 | Date 28/06/2024 |
| Token No | SM/25-26/11615 06/12/2025 | Serial | 113 |
| Patient Name | Mrs. ANUSHREE GUHATHAKURTA | Contact No | 9851668738 |
| Address | 1/A D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||