Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08482 | Date 30/12/2024 |
| Token No | SM/24-25/33443 30/12/2024 | Serial | 041 |
| Patient Name | Mrs. DOLA ROY | Contact No | 6290239472 |
| Address | 37/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||