Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03937 | Date 15/03/2023 |
| Token No | SM/22-23/16200 05/12/2023 | Serial | 040 |
| Patient Name | Mrs. NAFUJA BIBI | Contact No | 9748396430 |
| Address | 17/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||