Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06470 | Date 23/03/2024 |
| Token No | SM/22-23/20126 23/03/2024 | Serial | 016 |
| Patient Name | Mrs. MANJU BIBI | Contact No | 9163743186 |
| Address | 7 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||