Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06671 | Date 30/04/2024 |
| Token No | SM/24-25/23594 24/06/2024 | Serial | 018 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 9163730511 |
| Address | 29 JANNAGAR ROAD SERAMPORE 712201 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||