Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04643 | Date 27/07/2023 |
| Token No | SM/22-23/11067 27/07/2023 | Serial | 051 |
| Patient Name | Mrs. KAJAL DEBNATH | Contact No | |
| Address | 31 TARAPUKUR LANE SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||