Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01495 | Date 27/04/2020 |
| Token No | SM/24-25/25482 24/07/2024 | Serial | 069 |
| Patient Name | Mrs. GITA MONDAL | Contact No | 9064266277 |
| Address | 10E HARIPARA LANE SERAMPORE 712203 | Age | 71 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||