Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04836 | Date 16/08/2023 |
| Token No | SM/22-23/11893 16/08/2023 | Serial | 035 |
| Patient Name | Mrs. PRITI DAS | Contact No | 6289747637 |
| Address | 5/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||