Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06512 | Date 02/04/2024 |
| Token No | SM/24-25/20638 09/04/2024 | Serial | 017 |
| Patient Name | Mrs. MAMATA SEN GUPTA | Contact No | 8336865545 |
| Address | 15A MALLICKPARA LANE SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||