Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07012 | Date 15/06/2024 |
| Token No | SM/24-25/23182 15/06/2024 | Serial | 016 |
| Patient Name | Mrs. GEETA DEVI | Contact No | 8250440832 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 65 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||