Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05343 | Date 05/10/2023 |
| Token No | SM/22-23/15279 07/11/2023 | Serial | 053 |
| Patient Name | Mrs. MOUSUMI SIKDAR | Contact No | 9883262716 |
| Address | 105/Y G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||