Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03321 | Date 05/12/2022 |
| Token No | SM/22-23/4989 05/12/2022 | Serial | 043 |
| Patient Name | Mrs. ANNAPURNA GUPTA | Contact No | 9830432746 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||