Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01388 | Date 11/04/2020 |
| Token No | SM/22-23/10790 22/07/2023 | Serial | 002 |
| Patient Name | Mrs. SUNITA THAKUR | Contact No | 7595054193 |
| Address | 23/29 SARADA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||