Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04767 | Date 09/08/2023 |
| Token No | SM/22-23/11588 09/08/2023 | Serial | 046 |
| Patient Name | Mrs. RENU KHATUN | Contact No | 7439772056 |
| Address | 17B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||