Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03075 | Date 07/11/2022 |
| Token No | SM/22-23/4142 07/11/2022 | Serial | 041 |
| Patient Name | Mrs. PROTIMA CHOWDHURY | Contact No | 9748741251 |
| Address | 5/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||