Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06041 | Date 09/01/2024 |
| Token No | SM/24-25/32971 19/12/2024 | Serial | 024 |
| Patient Name | Mrs. SANDHYARANI MAL | Contact No | 9674453682 |
| Address | 26 LENIN SARANI SERAMPORE 712203 | Age | 84 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||