Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04819 | Date 14/08/2023 |
| Token No | SM/22-23/11802 14/08/2023 | Serial | 010 |
| Patient Name | Mrs. SOMA ROY | Contact No | 7980272137 |
| Address | 236/2RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||