Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02911 | Date 17/10/2022 |
| Token No | SM/22-23/9073 24/05/2023 | Serial | 007 |
| Patient Name | Mrs. MAYA SARKAR | Contact No | 8420679906 |
| Address | 21 G T ROAD HUMOR BAGAN MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||