Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03942 | Date 16/03/2023 |
| Token No | SM/25-26/3 01/04/2025 | Serial | 003 |
| Patient Name | Mrs. NILU MISHRA | Contact No | 9748206025 |
| Address | 13/39 B B GHOSH ROAD SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||