Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06831 | Date 23/05/2024 |
| Token No | SM/24-25/22182 23/05/2024 | Serial | 006 |
| Patient Name | Mrs. SARASWATI SHAW | Contact No | 8697450514 |
| Address | 97/F/4/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||