Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06919 | Date 03/06/2024 |
| Token No | SM/25-26/7391 03/09/2025 | Serial | 047 |
| Patient Name | Miss JOYEETA DUTTA | Contact No | 9330278962 |
| Address | 3/E D CRUZE GARDEN LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||