Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07295 | Date 01/07/2024 |
| Token No | SM/24-25/24156 01/07/2024 | Serial | 065 |
| Patient Name | Mrs. PRIYANKA DUTTA | Contact No | 8013383218 |
| Address | 23/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||