Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07222 | Date 28/06/2024 |
| Token No | SM/24-25/23978 28/06/2024 | Serial | 062 |
| Patient Name | Mrs. ALPANA ROYCHOWDHURY | Contact No | |
| Address | 27 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||