Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06600 | Date 20/04/2024 |
| Token No | SM/24-25/20953 20/04/2024 | Serial | 052 |
| Patient Name | Mrs. SABITA KARMAKAR | Contact No | 9163248591 |
| Address | 307/79 WEST MANNA PARA RAMKRISHNA ROAD BAIDYABATI M 712204 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||