Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05222 | Date 23/09/2023 |
| Token No | SM/22-23/13554 26/09/2023 | Serial | 021 |
| Patient Name | Mrs. KAKULI BARIK | Contact No | 9331666207 |
| Address | 22/A MIA JAN DARJI LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||