Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08235 | Date 20/11/2024 |
| Token No | SM/24-25/31450 20/11/2024 | Serial | 018 |
| Patient Name | Mrs. SIKHA KARMAKAR | Contact No | 9088719798 |
| Address | 8/C SANIPARA BYE LANE MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||