Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06781 | Date 14/05/2024 |
| Token No | SM/24-25/21931 14/05/2024 | Serial | 033 |
| Patient Name | Mrs. MALATI DAS | Contact No | 9748153258 |
| Address | 95 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||