Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06638 | Date 25/04/2024 |
| Token No | SM/24-25/21175 25/04/2024 | Serial | 050 |
| Patient Name | Mrs. ARCHANA SARKAR | Contact No | 8240593193 |
| Address | 8/A/2/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||