Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03102 | Date 09/11/2022 |
| Token No | SM/22-23/5116 08/12/2022 | Serial | 042 |
| Patient Name | Mrs. BASANTI BHUIYA | Contact No | 6291159528 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||