Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00380 | Date 15/11/2019 |
| Token No | SM/22-23/15341 08/11/2023 | Serial | 054 |
| Patient Name | Mrs. RUPA BHOWMICK | Contact No | 9163228144 |
| Address | 45/B PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||