Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08150 | Date 04/11/2024 |
| Token No | SM/24-25/30588 04/11/2024 | Serial | 049 |
| Patient Name | Miss TULI SARKAR | Contact No | 8013690338 |
| Address | 22 NO MALLICKPARA LANE SERAMPORE M 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||