Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08155 | Date 05/11/2024 |
| Token No | SM/24-25/30638 05/11/2024 | Serial | 029 |
| Patient Name | Mrs. PINKI SHARMA | Contact No | 6291390699 |
| Address | 34/B/12 B B GHOSH ROAD SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||