Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04732 | Date 07/08/2023 |
| Token No | SM/22-23/11438 07/08/2023 | Serial | 006 |
| Patient Name | Mrs. RUPANJANA DE | Contact No | 6291509746 |
| Address | 9/A WEST JANNNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 17 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||