Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03729 | Date 08/02/2023 |
| Token No | SM/22-23/7201 02/03/2023 | Serial | 042 |
| Patient Name | Mrs. MOUMITA HENSH DEY | Contact No | 8670064632 |
| Address | 23/A G.T ROAD BHAWANI VIEW SERAMPORE 712203 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||