Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06434 | Date 15/03/2024 |
| Token No | SM/22-23/19867 15/03/2024 | Serial | 014 |
| Patient Name | Mrs. MUNMUN DAS | Contact No | 8910787292 |
| Address | 10/U/2 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||