Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07606 | Date 07/08/2024 |
| Token No | SM/24-25/26196 07/08/2024 | Serial | 071 |
| Patient Name | Mrs. BHASWATI SAMADDAR | Contact No | 9836707991 |
| Address | 22 BAHIR SERAMPORE SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||