Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07812 | Date 03/09/2024 |
| Token No | SM/24-25/27605 03/09/2024 | Serial | 057 |
| Patient Name | Mrs. KAKULI NANDI | Contact No | 8017322981 |
| Address | 43/3/H/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||