Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08958 | Date 24/03/2025 |
| Token No | SM/24-25/37372 24/03/2025 | Serial | 078 |
| Patient Name | Mrs. CHAPA RUIDAS | Contact No | 7890547535 |
| Address | 12 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||