Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08255 | Date 21/11/2024 |
| Token No | SM/24-25/31572 21/11/2024 | Serial | 063 |
| Patient Name | Mrs. KUMARI RUBI PRASAD | Contact No | 7980485742 |
| Address | 7/A RAM SITA LANE SERAMPORE 712201 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||