Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00925 | Date 12/02/2020 |
| Token No | SM/22-23/990 30/06/2022 | Serial | 004 |
| Patient Name | Mrs. BISHNUPRIYA DUTTA | Contact No | 7003558020 |
| Address | 26/B PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||