Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08297 | Date 27/11/2024 |
| Token No | SM/24-25/31887 27/11/2024 | Serial | 036 |
| Patient Name | Miss BABITA SHAW | Contact No | 9330256840 |
| Address | 108/A FL NO G-2 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||