Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06627 | Date 25/04/2024 |
| Token No | SM/24-25/21153 25/04/2024 | Serial | 028 |
| Patient Name | Mrs. MENAKA DHARA | Contact No | 9836871191 |
| Address | 6 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 83 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||