Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04555 | Date 20/07/2023 |
| Token No | SM/22-23/10745 20/07/2023 | Serial | 036 |
| Patient Name | Mrs. SUCHISMITA NEOGI | Contact No | 8670218028 |
| Address | 104/E G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||