Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04186 | Date 16/05/2023 |
| Token No | SM/24-25/25979 03/08/2024 | Serial | 031 |
| Patient Name | Mrs. PINKI GARAI | Contact No | 7044542240 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||