Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04766 | Date 09/08/2023 |
| Token No | SM/22-23/11586 09/08/2023 | Serial | 044 |
| Patient Name | Mrs. NIRUPA KHATUN | Contact No | 9330245040 |
| Address | 17B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||