Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04347 | Date 16/06/2023 |
| Token No | SM/22-23/9669 16/06/2023 | Serial | 036 |
| Patient Name | Mrs. SUKLA ROY | Contact No | 9831511892 |
| Address | 5 NO MALLICKPARA BYE LANE SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||