Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04159 | Date 11/05/2023 |
| Token No | SM/22-23/8814 13/05/2023 | Serial | 021 |
| Patient Name | Mrs. RAGINI KUMARI PANDEY | Contact No | 8240761184 |
| Address | 97/P/15 GURUGARDEN ROAD SERAMPORE 712249 | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||