Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08380 | Date 11/12/2024 |
| Token No | SM/24-25/32645 11/12/2024 | Serial | 013 |
| Patient Name | Mrs. ASHA CHOWDHURY | Contact No | 9748978298 |
| Address | 74/A MALLICKPARA LANE SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||