Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06461 | Date 22/03/2024 |
| Token No | SM/22-23/20083 22/03/2024 | Serial | 013 |
| Patient Name | Mrs. BANDANA SARKAR | Contact No | 8981821392 |
| Address | 65/A KUMIR JALA ROAD MALLICKPARA SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||