Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05139 | Date 13/09/2023 |
| Token No | SM/22-23/13931 04/10/2023 | Serial | 048 |
| Patient Name | Mrs. MALABIKA DUTTA | Contact No | 9830432717 |
| Address | 9/R ROY VILLA ZAMIDAR BAGAN LANE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||