Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 01658 | Date 25/05/2022 |
| Token No | SM/24-25/27492 02/09/2024 | Serial | 028 |
| Patient Name | Mrs. PRABHA SEN | Contact No | 8017298331 |
| Address | 53/J J N LAHIRI ROAD SERAMPORE 712202 | Age | 52 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||