Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00037 | Date 07/09/2019 |
| Token No | SM/22-23/8972 19/05/2023 | Serial | 017 |
| Patient Name | Mrs. PURNIMA SAHA | Contact No | 9804816689 |
| Address | 24 ER PALLY PRABASHNAGAR SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||