Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02615 | Date 05/09/2022 |
| Token No | SM/22-23/13821 30/09/2023 | Serial | 041 |
| Patient Name | Mrs. LALMUNI DEBI | Contact No | 6289944060 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||