Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06226 | Date 09/02/2024 |
| Token No | SM/22-23/18559 12/02/2024 | Serial | 040 |
| Patient Name | Mrs. BINA MAJUMDER | Contact No | 8017539924 |
| Address | 17 NILMANI GHOSH LANE MAHESH SERAMPORE 712202 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||