Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02207 | Date 13/07/2022 |
| Token No | SM/22-23/1268 13/07/2022 | Serial | 022 |
| Patient Name | Mrs. CHANDRABATI KUMAR | Contact No | 9062153049 |
| Address | 34/B/35 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||