Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02172 | Date 06/07/2022 |
| Token No | SM/22-23/1168 06/07/2022 | Serial | 059 |
| Patient Name | Mrs. POOJA KUMARI | Contact No | 8699721782 |
| Address | 66/E/9 PRABASHNAGAR GURU GARDEN ROAD SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||