Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04900 | Date 21/08/2023 |
| Token No | SM/22-23/12127 21/08/2023 | Serial | 063 |
| Patient Name | Mrs. KANAN ADHIKARI | Contact No | |
| Address | 55A/27 PRABASHNAGAR SERAMPORE 712249 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||