Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07080 | Date 21/06/2024 |
| Token No | SM/24-25/23507 21/06/2024 | Serial | 053 |
| Patient Name | Mrs. MANABI DAS | Contact No | 7044949934 |
| Address | 43/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||