Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05612 | Date 07/11/2023 |
| Token No | SM/22-23/15268 07/11/2023 | Serial | 042 |
| Patient Name | Mrs. SHILPA SAMANTA | Contact No | 9163467261 |
| Address | 10/M HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||