Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03905 | Date 10/03/2023 |
| Token No | SM/22-23/7436 10/03/2023 | Serial | 040 |
| Patient Name | Mrs. RUMA SAHA | Contact No | 7044763186 |
| Address | 65/A/1/K F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||