Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05757 | Date 29/11/2023 |
| Token No | SM/24-25/23879 27/06/2024 | Serial | 063 |
| Patient Name | Mrs. BULTI RUIDAS | Contact No | 8100611614 |
| Address | 3 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||