Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08180 | Date 09/11/2024 |
| Token No | SM/24-25/30842 09/11/2024 | Serial | 070 |
| Patient Name | Mrs. SONALI SINGHA | Contact No | 8910848849 |
| Address | 97/N/8/C GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||