Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04014 | Date 06/04/2023 |
| Token No | SM/22-23/9815 22/06/2023 | Serial | 016 |
| Patient Name | Mrs. SAKILA BIBI | Contact No | 9334229191 |
| Address | 4 NO ROY GHAT LANE SERAMPORE 712201 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||