Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00070 | Date 11/09/2019 |
| Token No | SM/22-23/5253 13/12/2022 | Serial | 012 |
| Patient Name | Mrs. ARUN BISWAS | Contact No | 9088657182 |
| Address | 64 PRABASHNAGAR SERAMPORE 712249 | Age | 83 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||