Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06771 | Date 13/05/2024 |
| Token No | SM/25-26/398 08/04/2025 | Serial | 024 |
| Patient Name | Miss PAYEL PASI | Contact No | 9674376734 |
| Address | 9/437 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||