Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07019 | Date 15/06/2024 |
| Token No | SM/24-25/23210 15/06/2024 | Serial | 044 |
| Patient Name | Mrs. ANAMIKA GUHA | Contact No | 9804529554 |
| Address | 3/67 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||