Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04870 | Date 18/08/2023 |
| Token No | SM/22-23/19047 26/02/2024 | Serial | 020 |
| Patient Name | Mrs. NANDITA NATH | Contact No | 8910607177 |
| Address | 14B G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||