Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01852 | Date 08/06/2022 |
| Token No | SM/22-23/3365 12/10/2022 | Serial | 016 |
| Patient Name | Mrs. ANIMA KHATUN | Contact No | 9874713630 |
| Address | 18 CHAKAPARA MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||