Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00211 | Date 21/09/2019 |
| Token No | SM/22-23/8149 11/04/2023 | Serial | 028 |
| Patient Name | Mrs. ANJALI CHATTERJEE | Contact No | 9836372751 |
| Address | 30 PRABASHNAGAR,SERAMPORE 712249 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||