Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02622 | Date 05/09/2022 |
| Token No | SM/22-23/5135 09/12/2022 | Serial | 018 |
| Patient Name | Mrs. LALITA KUMARI SHAW | Contact No | 9007076218 |
| Address | 97/F PRABASHNAGAR SERAMPORE 712249 | Age | 27 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||