Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08566 | Date 17/01/2025 |
| Token No | SM/24-25/34255 17/01/2025 | Serial | 013 |
| Patient Name | Mrs. ANINDITA SARKAR DUTTA | Contact No | 8420600603 |
| Address | FLAT NO 404 BASUNDHARA APARTMENT 32 MALLICKPARA LANE SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||