Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06889 | Date 29/05/2024 |
| Token No | SM/24-25/22477 29/05/2024 | Serial | 060 |
| Patient Name | Mrs. RUPA BANERJEE | Contact No | 8100277630 |
| Address | 34/B/13 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||