Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05084 | Date 08/09/2023 |
| Token No | SM/22-23/14138 09/10/2023 | Serial | 058 |
| Patient Name | Mrs. SULEKHA DEVI | Contact No | 8227818863 |
| Address | GURU GARDEN ROAD SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||