Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06411 | Date 12/03/2024 |
| Token No | SM/22-23/19724 12/03/2024 | Serial | 024 |
| Patient Name | Mrs. SAMPA SAHA | Contact No | 9748450284 |
| Address | 26 LENIN SARANI MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||