Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06917 | Date 03/06/2024 |
| Token No | SM/24-25/22699 05/06/2024 | Serial | 002 |
| Patient Name | Mrs. ARATI MAITI | Contact No | 9732919023 |
| Address | 85 KUMIR JELA ROAD MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||