Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06348 | Date 23/02/2024 |
| Token No | SM/24-25/31387 19/11/2024 | Serial | 029 |
| Patient Name | Mrs. KRISHNA DEVI | Contact No | 8902590496 |
| Address | 165/A/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||