Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02694 | Date 13/09/2022 |
| Token No | SM/24-25/25739 30/07/2024 | Serial | 008 |
| Patient Name | Mrs. PURNIMA CHAKRABORTY | Contact No | 9831060558 |
| Address | GHORAMARA PURBAPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||