Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06007 | Date 05/01/2024 |
| Token No | SM/24-25/32768 14/12/2024 | Serial | 022 |
| Patient Name | Miss MOUPIYA KUNDU | Contact No | 9123925833 |
| Address | 13/14 B B GHOSH ROAD MAA SARADA PALLY SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 100 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||