Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04353 | Date 17/06/2023 |
| Token No | SM/22-23/19939 18/03/2024 | Serial | 036 |
| Patient Name | Mrs. MONDIRA BAIRAGI | Contact No | 9830619244 |
| Address | 2/B SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||