Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04415 | Date 03/07/2023 |
| Token No | SM/22-23/10083 03/07/2023 | Serial | 026 |
| Patient Name | Mrs. SHIBURANI BANERJEE | Contact No | 8820297207 |
| Address | 74/A KUMIR JALA ROAD MALLIKPARA SERAMPORE M 712203 | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||