Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05455 | Date 17/10/2023 |
| Token No | SM/24-25/30628 05/11/2024 | Serial | 019 |
| Patient Name | Miss NILAM KUMARI SHAW | Contact No | 8777797239 |
| Address | 74 PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||