Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05003 | Date 29/08/2023 |
| Token No | SM/22-23/12495 29/08/2023 | Serial | 030 |
| Patient Name | Mrs. RITUPARNA SAHA | Contact No | 8207011230 |
| Address | 20/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||