Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04927 | Date 24/08/2023 |
| Token No | SM/22-23/12246 24/08/2023 | Serial | 001 |
| Patient Name | Mrs. SUNAINA BHUIYA | Contact No | 9903353699 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||