Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02081 | Date 28/06/2022 |
| Token No | SM/22-23/958 29/06/2022 | Serial | 008 |
| Patient Name | Mrs. SANU RASUYA | Contact No | 7980480516 |
| Address | HARIJAN BASTI B B GHOSH ROAD 712203 | Age | 64 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||