Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07720 | Date 21/08/2024 |
| Token No | SM/24-25/26940 21/08/2024 | Serial | 042 |
| Patient Name | Mrs. PAMPA PATRA | Contact No | 8583997047 |
| Address | 5A JAMIDAR BAGAN LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||