Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02870 | Date 12/10/2022 |
| Token No | SM/22-23/3391 12/10/2022 | Serial | 042 |
| Patient Name | Mrs. PUJA SETH BAIRAGI | Contact No | 9123058508 |
| Address | 15 NO JAMIDAR BAGAN LANE MALLICKPARA SERAMPORE 712203 | Age | 23 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||