Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05841 | Date 11/12/2023 |
| Token No | SM/22-23/16885 26/12/2023 | Serial | 012 |
| Patient Name | Mrs. SUMITRA AROS | Contact No | 9433854870 |
| Address | 12/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 83 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 33 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||