Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02446 | Date 12/08/2022 |
| Token No | SM/22-23/2003 12/08/2022 | Serial | 025 |
| Patient Name | Miss ANUSHA CHATTERJEE | Contact No | 9582987441 |
| Address | 65/25/39 PRABASHNAGAR SERAMPORE 712249 | Age | 14 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||