Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08154 | Date 05/11/2024 |
| Token No | SM/24-25/30622 05/11/2024 | Serial | 013 |
| Patient Name | Mrs. GOURI DAS | Contact No | 9875532388 |
| Address | 101/E G T ROAD SERAMPORE M 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||