Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08022 | Date 15/10/2024 |
| Token No | SM/24-25/29636 19/10/2024 | Serial | 013 |
| Patient Name | Mrs. MOUMITA MALAKAR | Contact No | 9163704680 |
| Address | 31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||