Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07124 | Date 25/06/2024 |
| Token No | SM/24-25/23707 25/06/2024 | Serial | 051 |
| Patient Name | Mrs. PARBATI PODDER | Contact No | 8337076369 |
| Address | JAMIDAR BAGAN SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||