Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05988 | Date 02/01/2024 |
| Token No | SM/22-23/18975 23/02/2024 | Serial | 030 |
| Patient Name | Mrs. LAXMI ADHIKARI | Contact No | 9051848537 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 79 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||