Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03411 | Date 15/12/2022 |
| Token No | SM/24-25/25483 24/07/2024 | Serial | 070 |
| Patient Name | Mrs. SULATA DAS | Contact No | 9830753461 |
| Address | 10/U HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||