Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06263 | Date 12/02/2024 |
| Token No | SM/22-23/18522 12/02/2024 | Serial | 003 |
| Patient Name | Mrs. MANI DAS | Contact No | 7980852689 |
| Address | 32A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||