Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03859 | Date 03/03/2023 |
| Token No | SM/22-23/9437 10/06/2023 | Serial | 006 |
| Patient Name | Mrs. PUJA BIBI | Contact No | 6289980549 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||