Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05945 | Date 27/12/2023 |
| Token No | SM/24-25/23956 28/06/2024 | Serial | 040 |
| Patient Name | Mrs. GITA DEVI | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||