Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04127 | Date 02/05/2023 |
| Token No | SM/24-25/20418 02/04/2024 | Serial | 016 |
| Patient Name | Mrs. LALMUNI VERMA | Contact No | 8481053082 |
| Address | 13/36 B B GHOSH ROAD SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||