Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00444 | Date 25/11/2019 |
| Token No | SM/22-23/8426 26/04/2023 | Serial | 019 |
| Patient Name | Mrs. SUNITA SINGH | Contact No | 9163765590 |
| Address | 13/40 B B GHOSH ROAD SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||