Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01673 | Date 25/05/2022 |
| Token No | SM/22-23/145 27/05/2022 | Serial | 006 |
| Patient Name | Mrs. SADHVI | Contact No | 8335815793 |
| Address | PRABASHNAGAR SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||