Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04109 | Date 27/04/2023 |
| Token No | SM/22-23/8589 04/05/2023 | Serial | 009 |
| Patient Name | Mrs. FALGUNI RUIDAS | Contact No | 8240757886 |
| Address | 13 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||