Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08374 | Date 09/12/2024 |
| Token No | SM/24-25/33079 21/12/2024 | Serial | 036 |
| Patient Name | Mrs. RINA CHAKRABORTY | Contact No | 9062250638 |
| Address | 32/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||