Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08484 | Date 30/12/2024 |
| Token No | SM/24-25/33586 02/01/2025 | Serial | 049 |
| Patient Name | Mrs. SUMITRA BAIDYA | Contact No | 9748748780 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||