Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02840 | Date 30/09/2022 |
| Token No | SM/22-23/3235 30/09/2022 | Serial | 052 |
| Patient Name | Mrs. GAYETRI BHUIYA | Contact No | 8585876226 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||