Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06477 | Date 23/03/2024 |
| Token No | SM/22-23/20170 23/03/2024 | Serial | 060 |
| Patient Name | Mrs. JYOTI CHOWDHURY | Contact No | 6289728623 |
| Address | 35/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||