Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 01965 | Date 21/06/2022 |
| Token No | SM/22-23/659 21/06/2022 | Serial | 007 |
| Patient Name | Mrs. ANARI SHAW | Contact No | 8013288480 |
| Address | 2 NO RAILAND ROAD SERAMPORE MAHESH 1 712202 | Age | 86 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||