Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 04503 | Date 13/07/2023 |
| Token No | SM/22-23/10501 13/07/2023 | Serial | 040 |
| Patient Name | Miss MOULI DAS | Contact No | 7980865034 |
| Address | 7/B/6/1 ROYLAND CIRCULAR ROAD SERAMPORE 712202 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||