Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08256 | Date 22/11/2024 |
| Token No | SM/24-25/31594 22/11/2024 | Serial | 014 |
| Patient Name | Mrs. MAHAMAYA ROY | Contact No | 8961631074 |
| Address | 7A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||