Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04679 | Date 01/08/2023 |
| Token No | SM/22-23/11200 01/08/2023 | Serial | 041 |
| Patient Name | Mrs. MAHIMA BEGUM | Contact No | 6291947667 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||