Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03406 | Date 15/12/2022 |
| Token No | SM/22-23/20061 21/03/2024 | Serial | 041 |
| Patient Name | Mrs. SONA BANIK | Contact No | 9330502649 |
| Address | 24/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||