Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08459 | Date 27/12/2024 |
| Token No | SM/24-25/33284 27/12/2024 | Serial | 017 |
| Patient Name | Mrs. BRISTI BAGCHI | Contact No | 9832063074 |
| Address | 61/A KUMIR JALA ROAD MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/78 mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||