Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03533 | Date 30/12/2022 |
| Token No | SM/22-23/5791 30/12/2022 | Serial | 023 |
| Patient Name | Mrs. SONI SHARMA | Contact No | 9433184419 |
| Address | 153 B B GHOSH ROAD NEW MAHESH SERAMPORE 712203 | Age | 33 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||