Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06389 | Date 07/03/2024 |
| Token No | SM/24-25/20755 15/04/2024 | Serial | 047 |
| Patient Name | Mrs. SUTAPA CHAKRABORTY | Contact No | 8637067565 |
| Address | 105/8 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||