Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03952 | Date 17/03/2023 |
| Token No | SM/24-25/34840 29/01/2025 | Serial | 069 |
| Patient Name | Mrs. ALO RANI KARMAKAR | Contact No | 9874995020 |
| Address | 65/36 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||