Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05829 | Date 09/12/2023 |
| Token No | SM/22-23/16320 09/12/2023 | Serial | 053 |
| Patient Name | Mrs. BULA GHORUI | Contact No | 8013243448 |
| Address | G T ROAD WEST SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||