Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07691 | Date 19/08/2024 |
| Token No | SM/24-25/27282 28/08/2024 | Serial | 022 |
| Patient Name | Miss DEBOPRIYA PATRA | Contact No | 9903315630 |
| Address | 19 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||