Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04421 | Date 04/07/2023 |
| Token No | SM/22-23/10130 04/07/2023 | Serial | 016 |
| Patient Name | Mrs. JAYA DAS | Contact No | 9875532388 |
| Address | 101/E G.T ROAD WEST SERAMPORE M 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||