Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03105 | Date 10/11/2022 |
| Token No | SM/22-23/4243 10/11/2022 | Serial | 016 |
| Patient Name | Mrs. HIRAMAYEE DEBNATH | Contact No | 9230164904 |
| Address | 11 DULEY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||