Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06650 | Date 27/04/2024 |
| Token No | SM/24-25/21837 11/05/2024 | Serial | 033 |
| Patient Name | Mrs. BAYTORONI SINGH | Contact No | 9051571979 |
| Address | 55 RAY LAND ROAD SERAMPORE M 712201 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||