Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02900 | Date 15/10/2022 |
| Token No | SM/22-23/8311 18/04/2023 | Serial | 040 |
| Patient Name | Mrs. KALITA DEVI | Contact No | 7783844150 |
| Address | 10 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||