Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08121 | Date 29/10/2024 |
| Token No | SM/24-25/30302 29/10/2024 | Serial | 023 |
| Patient Name | Mrs. MITHU GUPTA | Contact No | 8100667610 |
| Address | 36/B MIA JAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||