Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07970 | Date 30/09/2024 |
| Token No | SM/24-25/28970 30/09/2024 | Serial | 068 |
| Patient Name | Mrs. JAYANTI DEBNATH | Contact No | 9123975583 |
| Address | 29A/4 MALLICKPARA LANE SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||