Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03731 | Date 09/02/2023 |
| Token No | SM/22-23/8891 16/05/2023 | Serial | 031 |
| Patient Name | Mrs. BIPASHA MAITY (DALAPATI) | Contact No | 9874363154 |
| Address | 37/1 GURU GARDEN ROAD SERAMPORE 712249 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||