Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02037 | Date 24/06/2022 |
| Token No | SM/22-23/9174 29/05/2023 | Serial | 025 |
| Patient Name | Mrs. ARCHANA BANIK | Contact No | 9038415322 |
| Address | 47/1 PRABASHNAGAR PURBAPARA SERAMPORE HOOGHLY 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||