Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02948 | Date 20/10/2022 |
| Token No | SM/22-23/3652 20/10/2022 | Serial | 018 |
| Patient Name | Miss SOMA KUMARI PRASAD | Contact No | 8582881295 |
| Address | PURBAPARA GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||