Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05380 | Date 09/10/2023 |
| Token No | SM/22-23/14159 09/10/2023 | Serial | 079 |
| Patient Name | Mrs. KABERI DAS | Contact No | 8910145717 |
| Address | 43/6 GURU GARDEN ROAD SERAMPORE 712249 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||