Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06225 | Date 09/02/2024 |
| Token No | SM/24-25/33820 07/01/2025 | Serial | 032 |
| Patient Name | Mrs. SONALI KUMARI ADHIKARI | Contact No | 6289495476 |
| Address | 9A/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||