Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04023 | Date 08/04/2023 |
| Token No | SM/22-23/9109 26/05/2023 | Serial | 031 |
| Patient Name | Mrs. SHASHI PRABHA RABIDAS | Contact No | 9330622070 |
| Address | 238 NEW MAHESH SERAMPORE M 712249 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||