Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05645 | Date 10/11/2023 |
| Token No | SM/25-26/1199 25/04/2025 | Serial | 032 |
| Patient Name | Miss MUNNI KUMARI CHOUDHURY | Contact No | 8013551710 |
| Address | 56 ROY LAND ROAD SERAMPORE 712201 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||