Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05984 | Date 02/01/2024 |
| Token No | SM/22-23/17117 02/01/2024 | Serial | 028 |
| Patient Name | Mrs. SUSMITA NAYEK | Contact No | 8777237442 |
| Address | 126 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||