Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08387 | Date 12/12/2024 |
| Token No | SM/24-25/32707 12/12/2024 | Serial | 045 |
| Patient Name | Mrs. SUPARNA HAZRA | Contact No | 7596940475 |
| Address | 16 DR B R AMBEDKAR LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||