Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06776 | Date 13/05/2024 |
| Token No | SM/24-25/21897 13/05/2024 | Serial | 059 |
| Patient Name | Mrs. MOUSUMI BANIK | Contact No | 8910852447 |
| Address | 62A/3 LENIN SARANI MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||