Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06035 | Date 09/01/2024 |
| Token No | SM/22-23/17332 09/01/2024 | Serial | 009 |
| Patient Name | Mrs. RINKI SHAW | Contact No | 9088574749 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||