Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02011 | Date 23/06/2022 |
| Token No | SM/22-23/769 23/06/2022 | Serial | 018 |
| Patient Name | Mrs. JUNDARI BHUIYA | Contact No | |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||