Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02387 | Date 03/08/2022 |
| Token No | SM/22-23/8898 17/05/2023 | Serial | 005 |
| Patient Name | Mrs. AMITA DUTTA | Contact No | 8582880212 |
| Address | 10 DULEYPARA LANE SERAMPORE MALLICKPARA 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||