Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06449 | Date 19/03/2024 |
| Token No | SM/24-25/21891 13/05/2024 | Serial | 053 |
| Patient Name | Mrs. JYOTI SHARMA | Contact No | 7980255596 |
| Address | 61/K G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||