Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04699 | Date 03/08/2023 |
| Token No | SM/22-23/11605 09/08/2023 | Serial | 063 |
| Patient Name | Mrs. PRATIMA SARKAR | Contact No | 9007776485 |
| Address | 19/B PRABASHNAGAR SERAMPORE 712249 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||