Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05320 | Date 03/10/2023 |
| Token No | SM/22-23/13872 03/10/2023 | Serial | 045 |
| Patient Name | Mrs. APARNA GHOSH | Contact No | 8961369891 |
| Address | 9/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||