Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06163 | Date 03/02/2024 |
| Token No | SM/22-23/18109 03/02/2024 | Serial | 006 |
| Patient Name | Mrs. CHAPA DEY | Contact No | 9433572419 |
| Address | 27 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||