Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07729 | Date 22/08/2024 |
| Token No | SM/24-25/27052 22/08/2024 | Serial | 056 |
| Patient Name | Mrs. KRISHNA GHOSH | Contact No | 8100053424 |
| Address | 31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||