Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03856 | Date 02/03/2023 |
| Token No | SM/22-23/7198 02/03/2023 | Serial | 039 |
| Patient Name | Mrs. SUMANA ADHIKARI | Contact No | 8478911858 |
| Address | 44 GURU GARDEN ROAD SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||