Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06489 | Date 28/03/2024 |
| Token No | SM/24-25/22531 30/05/2024 | Serial | 050 |
| Patient Name | Mrs. SIKHA NAG | Contact No | 7983353616 |
| Address | 13/45 B B GHOSH ROAD SARADA PALLY SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||