Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05528 | Date 30/10/2023 |
| Token No | SM/22-23/16139 04/12/2023 | Serial | 029 |
| Patient Name | Mrs. SUNDARI DAS | Contact No | 9749784560 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||