Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07755 | Date 27/08/2024 |
| Token No | SM/24-25/27881 07/09/2024 | Serial | 037 |
| Patient Name | Mrs. MITA AROS | Contact No | 9433854870 |
| Address | 12/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||