Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02915 | Date 17/10/2022 |
| Token No | SM/22-23/5856 02/01/2023 | Serial | 037 |
| Patient Name | Mrs. GAYTRI KUMARI | Contact No | 8585876226 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||