Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03105 | Date 10/11/2022 |
| Token No | SM/22-23/16393 12/12/2023 | Serial | 018 |
| Patient Name | Mrs. HIRAMAYEE DEBNATH | Contact No | 9230164904 |
| Address | 11 DULEY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||