Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05094 | Date 08/09/2023 |
| Token No | SM/22-23/12860 08/09/2023 | Serial | 049 |
| Patient Name | Mrs. PRAMILA SINGH | Contact No | 8240683820 |
| Address | 74/G KUMIR JALA ROAD MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||