Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04085 | Date 25/04/2023 |
| Token No | SM/22-23/9211 31/05/2023 | Serial | 007 |
| Patient Name | Mrs. PIYALI DEY KARMAKAR | Contact No | 6290182150 |
| Address | 65/A KUMIR JALA 2ND BYE LANE SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||