Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01778 | Date 01/06/2022 |
| Token No | SM/22-23/275 01/06/2022 | Serial | 003 |
| Patient Name | Mrs. DURGARANI GHOSH | Contact No | 9163102365 |
| Address | 196/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||