Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08201 | Date 14/11/2024 |
| Token No | SM/24-25/31089 14/11/2024 | Serial | 001 |
| Patient Name | Mrs. ANJALI DAS | Contact No | |
| Address | 5 HARIPARA 2ND LANE SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||