Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01630 | Date 23/05/2022 |
| Token No | SM/22-23/4492 17/11/2022 | Serial | 015 |
| Patient Name | Mrs. KALYANI PATRA | Contact No | 9007782389 |
| Address | 43/46/C PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||