Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06129 | Date 30/01/2024 |
| Token No | SM/24-25/33510 31/12/2024 | Serial | 025 |
| Patient Name | Mrs. URMILA DAS | Contact No | 7044257179 |
| Address | 113 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||