Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03392 | Date 14/12/2022 |
| Token No | SM/22-23/5257 14/12/2022 | Serial | 003 |
| Patient Name | Mrs. BASANTI RANA | Contact No | 9733033604 |
| Address | 18 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||