Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08360 | Date 06/12/2024 |
| Token No | SM/24-25/32376 06/12/2024 | Serial | 034 |
| Patient Name | Mrs. USHA DEVI | Contact No | 9038046517 |
| Address | 45/6 G T ROAD MALLICKPARA SERAMPORE M 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||