Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00020 | Date 06/09/2019 |
| Token No | SM/22-23/9659 16/06/2023 | Serial | 026 |
| Patient Name | Mrs. SWAPNA ROY | Contact No | 8017113307 |
| Address | PRABASHNAGAR BALI PUKUR MATH SERAMPORE 712249 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||