Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04979 | Date 28/08/2023 |
| Token No | SM/22-23/12427 28/08/2023 | Serial | 029 |
| Patient Name | Mrs. JAHANARA BEGAM | Contact No | |
| Address | 4 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||