Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07118 | Date 25/06/2024 |
| Token No | SM/24-25/23677 25/06/2024 | Serial | 021 |
| Patient Name | Mrs. MAKALI JHA | Contact No | 7890085109 |
| Address | 30/31 TARAPUKUR COLONY MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||