Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06217 | Date 08/02/2024 |
| Token No | SM/22-23/18357 08/02/2024 | Serial | 052 |
| Patient Name | Mrs. GITA SAHANI | Contact No | 9163628590 |
| Address | 94/37/E/3 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||