Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08410 | Date 18/12/2024 |
| Token No | SM/24-25/33297 27/12/2024 | Serial | 030 |
| Patient Name | Mrs. KABITA GUPTA | Contact No | 9123626030 |
| Address | GHORAMARA PURBAPARA MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||