Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05223 | Date 23/09/2023 |
| Token No | SM/22-23/13455 23/09/2023 | Serial | 030 |
| Patient Name | Mrs. PAMPA DAS | Contact No | 8910598547 |
| Address | 26/B B B GHOSH ROAD SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||