Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02963 | Date 21/10/2022 |
| Token No | SM/22-23/3749 22/10/2022 | Serial | 028 |
| Patient Name | Miss DIPANITA BHOWMICK | Contact No | 7003531476 |
| Address | 11/C D N BHATTACHARJEE SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 14 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||