Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02180 | Date 07/07/2022 |
| Token No | SM/22-23/1200 07/07/2022 | Serial | 022 |
| Patient Name | Miss SRIJANI SAHA | Contact No | 7003981428 |
| Address | 22/T/1 F D ROAD SERAMPORE MALLICKPARA 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||