Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06829 | Date 22/05/2024 |
| Token No | SM/24-25/22174 22/05/2024 | Serial | 055 |
| Patient Name | Mrs. GURIYA SHAW | Contact No | 9564973427 |
| Address | 11 NEW MAHESH SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||