Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02515 | Date 22/08/2022 |
| Token No | SM/22-23/2185 22/08/2022 | Serial | 039 |
| Patient Name | Miss MUSKAN BHUIYA | Contact No | 9007714549 |
| Address | J N LAHIRI ROAD SERAMPORE | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||