Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03435 | Date 19/12/2022 |
| Token No | SM/22-23/5410 19/12/2022 | Serial | 004 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 9875611995 |
| Address | 65/24 PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||