Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01852 | Date 08/06/2022 |
| Token No | SM/24-25/28368 18/09/2024 | Serial | 070 |
| Patient Name | Mrs. ANIMA KHATUN | Contact No | 9874713630 |
| Address | 18 CHAKAPARA MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||