Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05569 | Date 03/11/2023 |
| Token No | SM/22-23/15087 03/11/2023 | Serial | 046 |
| Patient Name | Mrs. SUSHMA DEVI | Contact No | 7450957122 |
| Address | 97/H/7 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 46 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||