Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06475 | Date 23/03/2024 |
| Token No | SM/24-25/25922 02/08/2024 | Serial | 015 |
| Patient Name | Mrs. MANGOLA AROS | Contact No | 8481876692 |
| Address | 12/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||