Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09372 | Date 30/05/2025 |
| Token No | SM/25-26/2828 30/05/2025 | Serial | 045 |
| Patient Name | Mrs. SOVA RANI DAS | Contact No | 9681411542 |
| Address | 8/B/2/A/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 85 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||