Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04241 | Date 27/05/2023 |
| Token No | SM/22-23/9144 27/05/2023 | Serial | 031 |
| Patient Name | Mrs. SANTOSHI MAJHI | Contact No | 6291494838 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||