Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08637 | Date 31/01/2025 |
| Token No | SM/24-25/34934 31/01/2025 | Serial | 013 |
| Patient Name | Mrs. SUSHITA DEVI NAYAK | Contact No | 6290366245 |
| Address | 97/F/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||