Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02914 | Date 17/10/2022 |
| Token No | SM/22-23/3524 17/10/2022 | Serial | 026 |
| Patient Name | Mrs. GAYATRI DEVI | Contact No | 7003191237 |
| Address | 120 PRABASHNAGAR SERAMPORE 712249 | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 83 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||