Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06135 | Date 30/01/2024 |
| Token No | SM/22-23/17948 30/01/2024 | Serial | 037 |
| Patient Name | Mrs. SAMIMA BEGAM | Contact No | 9239566248 |
| Address | 17C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||