Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05793 | Date 04/12/2023 |
| Token No | SM/22-23/16158 04/12/2023 | Serial | 048 |
| Patient Name | Mrs. SOMA MAJHI | Contact No | 9748136653 |
| Address | 10/1 HARI PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||