Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03082 | Date 07/11/2022 |
| Token No | SM/22-23/6700 09/02/2023 | Serial | 034 |
| Patient Name | Mrs. ANAMIKA DAS | Contact No | 6290027433 |
| Address | 113 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||