Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08384 | Date 12/12/2024 |
| Token No | SM/24-25/32691 12/12/2024 | Serial | 029 |
| Patient Name | Mrs. BELA MITRA | Contact No | 9874226859 |
| Address | 4 BELTING BAZAR MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||