Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00331 | Date 05/11/2019 |
| Token No | SM/22-23/4648 23/11/2022 | Serial | 005 |
| Patient Name | Mrs. MALATIRANI DAS | Contact No | 9804888987 |
| Address | 38E B B GHOSH ROAD SERAMPORE 712203 | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||