Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05440 | Date 16/10/2023 |
| Token No | SM/24-25/30503 02/11/2024 | Serial | 022 |
| Patient Name | Miss RUPSHA MAJUMDAR | Contact No | 8100360494 |
| Address | 1/B/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||