Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05274 | Date 27/09/2023 |
| Token No | SM/22-23/13657 27/09/2023 | Serial | 064 |
| Patient Name | Mrs. GOURI PAUL | Contact No | 9143091015 |
| Address | 65/24 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||