Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03965 | Date 20/03/2023 |
| Token No | SM/22-23/7680 20/03/2023 | Serial | 017 |
| Patient Name | Mrs. ALPANA DAS | Contact No | 8100524927 |
| Address | 1/C HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||