Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07714 | Date 20/08/2024 |
| Token No | SM/24-25/26885 20/08/2024 | Serial | 053 |
| Patient Name | Mrs. SANTANA SINGH | Contact No | 9883232700 |
| Address | PRAVASHNAGAR CHAKLAPARA SERAMPORE 712249 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||