Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04943 | Date 24/08/2023 |
| Token No | SM/22-23/12287 24/08/2023 | Serial | 042 |
| Patient Name | Miss GOURI RABIDAS | Contact No | 9903137690 |
| Address | 107/D GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 16 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||