Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03428 | Date 17/12/2022 |
| Token No | SM/22-23/5385 17/12/2022 | Serial | 018 |
| Patient Name | Mrs. BANTI SIL | Contact No | 8420097074 |
| Address | 65/7/4/A PRABASHNAGAR SERAMPORE 712249 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||