Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05057 | Date 04/09/2023 |
| Token No | SM/22-23/12852 08/09/2023 | Serial | 041 |
| Patient Name | Miss NILADRITA DAS | Contact No | 7044257179 |
| Address | 113/A G T ROAD WEST SERAMPORE 712203 | Age | 6 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||