Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05405 | Date 11/10/2023 |
| Token No | SM/22-23/14268 11/10/2023 | Serial | 040 |
| Patient Name | Mrs. BINA DEVI SHAW | Contact No | 8777797239 |
| Address | 74 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||