Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02793 | Date 26/09/2022 |
| Token No | SM/22-23/16486 13/12/2023 | Serial | 065 |
| Patient Name | Miss SUSMITA BERA | Contact No | 9477820779 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||