Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04595 | Date 25/07/2023 |
| Token No | SM/24-25/27315 29/08/2024 | Serial | 007 |
| Patient Name | Mrs. TOULI PASWAN | Contact No | 8961725066 |
| Address | 55 ROY LAND ROAD SERAMPORE 712201 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||