Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03938 | Date 15/03/2023 |
| Token No | SM/22-23/17988 31/01/2024 | Serial | 029 |
| Patient Name | Mrs. RASMINA BEGUM | Contact No | 9088015985 |
| Address | 17 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||