Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02145 | Date 04/07/2022 |
| Token No | SM/22-23/1095 04/07/2022 | Serial | 062 |
| Patient Name | Mrs. SUMANA HARIJAN | Contact No | |
| Address | PRABASHNAGAR OLD POST OFFICE SERAMPORE 712249 | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||