Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03784 | Date 16/02/2023 |
| Token No | SM/24-25/23647 24/06/2024 | Serial | 071 |
| Patient Name | Mrs. MINA DEVI | Contact No | 7044017187 |
| Address | 45/A/1 PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||