Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09395 | Date 04/06/2025 |
| Token No | SM/25-26/2988 04/06/2025 | Serial | 011 |
| Patient Name | Mrs. SANDHYA DAS | Contact No | 9674253558 |
| Address | 26 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 73 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||