Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09947 | Date 12/09/2025 |
| Token No | SM/25-26/7912 12/09/2025 | Serial | 027 |
| Patient Name | Mrs. SANDHYA DUTTA | Contact No | 6291290869 |
| Address | 65/11 MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||