Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02931 | Date 18/10/2022 |
| Token No | SM/22-23/3602 18/10/2022 | Serial | 032 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 8017752132 |
| Address | SOCIETY MATH B B GHOSH ROAD SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||