Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06010 | Date 05/01/2024 |
| Token No | SM/22-23/17229 05/01/2024 | Serial | 023 |
| Patient Name | Mrs. PURNIMA DEVI | Contact No | 8100279654 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||