Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01078 | Date 26/02/2020 |
| Token No | SM/22-23/1792 02/08/2022 | Serial | 008 |
| Patient Name | Mrs. RAMPATI THAKUR | Contact No | 8230876133 |
| Address | 13/29 SARADA PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||