Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05755 | Date 29/11/2023 |
| Token No | SM/22-23/15933 29/11/2023 | Serial | 025 |
| Patient Name | Mrs. GOURI DAS | Contact No | 8240739545 |
| Address | 25/B SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||