Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04712 | Date 04/08/2023 |
| Token No | SM/22-23/11346 04/08/2023 | Serial | 041 |
| Patient Name | Mrs. PAMELI MANDAL(DAS) | Contact No | 9051325012 |
| Address | 12/B SANIPARA LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||