Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04081 | Date 24/04/2023 |
| Token No | SM/24-25/21718 09/05/2024 | Serial | 042 |
| Patient Name | Mrs. ANJAMA BIBI | Contact No | 9330245040 |
| Address | 17 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||