Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04258 | Date 31/05/2023 |
| Token No | SM/22-23/9212 31/05/2023 | Serial | 008 |
| Patient Name | Mrs. BRATATI DEY KARMAKAR | Contact No | 9051602592 |
| Address | 65A/3 RAJA RAM MOHAN RAY SARANI SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||