Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07678 | Date 14/08/2024 |
| Token No | SM/24-25/29575 17/10/2024 | Serial | 064 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 7970543534 |
| Address | HARIJAN BASTI B B GHOSH ROAD SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||