Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06799 | Date 16/05/2024 |
| Token No | SM/24-25/21997 16/05/2024 | Serial | 028 |
| Patient Name | Mrs. RANJITA MALIK | Contact No | 9062245425 |
| Address | SUKANTA PALLY SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||