Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02517 | Date 22/08/2022 |
| Token No | SM/22-23/2191 22/08/2022 | Serial | 045 |
| Patient Name | Mrs. BEAUTI DAS | Contact No | 9903528892 |
| Address | 43/18/B PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||