Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09356 | Date 28/05/2025 |
| Token No | SM/25-26/2724 28/05/2025 | Serial | 071 |
| Patient Name | Mrs. RITA SARKAR | Contact No | 9831367994 |
| Address | 65/25/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||