Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02227 | Date 15/07/2022 |
| Token No | SM/22-23/1332 15/07/2022 | Serial | 002 |
| Patient Name | Mrs. NITU KUMARI | Contact No | 6290496803 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 16 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||