Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04056 | Date 17/04/2023 |
| Token No | SM/22-23/8235 17/04/2023 | Serial | 016 |
| Patient Name | Mrs. RAKHI MANDAL | Contact No | 9062385609 |
| Address | 25/A SANIPARA LANE SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||