Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03467 | Date 22/12/2022 |
| Token No | SM/22-23/5541 22/12/2022 | Serial | 010 |
| Patient Name | Mrs. DIPA DEY KARMAKAR | Contact No | 8017750024 |
| Address | 26/C PRABASHNAGAR SERAMPORE 712249 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||