Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04956 | Date 25/08/2023 |
| Token No | SM/24-25/25996 05/08/2024 | Serial | 011 |
| Patient Name | Miss URMILA BHUIYA | Contact No | 8910211805 |
| Address | C/1 B B GHOSH ROAD SERAMPORE M 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||