Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05778 | Date 01/12/2023 |
| Token No | SM/24-25/23015 11/06/2024 | Serial | 011 |
| Patient Name | Mrs. BEBY RANI BANIK | Contact No | 9007077364 |
| Address | 28/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||