Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06933 | Date 05/06/2024 |
| Token No | SM/25-26/2294 20/05/2025 | Serial | 020 |
| Patient Name | Mrs. SATHI DHARA | Contact No | 9883365722 |
| Address | SOCIETY MATH POLICE FARY SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||