Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08131 | Date 30/10/2024 |
| Token No | SM/24-25/31113 14/11/2024 | Serial | 025 |
| Patient Name | Mrs. AYESHA KHATUN | Contact No | 7439939083 |
| Address | 10 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||