Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05513 | Date 27/10/2023 |
| Token No | SM/22-23/14874 31/10/2023 | Serial | 010 |
| Patient Name | Mrs. RINA MONDAL | Contact No | 9163756331 |
| Address | 38/F B B GHOSH ROAD SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||