Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03086 | Date 09/11/2022 |
| Token No | SM/22-23/6918 17/02/2023 | Serial | 030 |
| Patient Name | Miss MAHIMA SARKAR | Contact No | 6291418322 |
| Address | 8/A/1/A D N B SARANI PRABASHNAGAR SERAMPORE 712249 | Age | 17 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||