Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06285 | Date 15/02/2024 |
| Token No | SM/22-23/18639 15/02/2024 | Serial | 031 |
| Patient Name | Mrs. SADHANA PROVA DEBNATH | Contact No | 7890287350 |
| Address | 20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||