Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06468 | Date 23/03/2024 |
| Token No | SM/22-23/20212 27/03/2024 | Serial | 038 |
| Patient Name | Mrs. SUMITA BAIRAGI BANERJEE | Contact No | 9830989943 |
| Address | 117/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/80 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||