Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08815 | Date 01/03/2025 |
| Token No | SM/25-26/238 04/04/2025 | Serial | 030 |
| Patient Name | Mrs. GITA GUPTA | Contact No | 8240448023 |
| Address | 65/8 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||