Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03547 | Date 02/01/2023 |
| Token No | SM/22-23/5827 02/01/2023 | Serial | 008 |
| Patient Name | Mrs. SUJATA BAG | Contact No | 6297422246 |
| Address | 5/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||