Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07375 | Date 05/07/2024 |
| Token No | SM/24-25/24508 05/07/2024 | Serial | 058 |
| Patient Name | Mrs. SUMITA PALIT | Contact No | 9330453939 |
| Address | 10/F HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||