Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04994 | Date 29/08/2023 |
| Token No | SM/24-25/32627 10/12/2024 | Serial | 057 |
| Patient Name | Mrs. MIRA BANERJEE | Contact No | 9477956570 |
| Address | 10F HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/100 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||