Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06177 | Date 05/02/2024 |
| Token No | SM/22-23/18155 05/02/2024 | Serial | 012 |
| Patient Name | Mrs. UMA DEBNATH | Contact No | 9903912645 |
| Address | 11 DULEY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||