Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03425 | Date 17/12/2022 |
| Token No | SM/22-23/6569 04/02/2023 | Serial | 018 |
| Patient Name | Miss KOMAL KUMARI SAH | Contact No | 7278070585 |
| Address | 13/62 B B GHOSH ROAD SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||