Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02930 | Date 18/10/2022 |
| Token No | SM/22-23/3897 31/10/2022 | Serial | 034 |
| Patient Name | Mrs. KRISHNA ROY | Contact No | 9836708469 |
| Address | 65/19/7 CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||