Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08515 | Date 07/01/2025 |
| Token No | SM/24-25/33822 07/01/2025 | Serial | 034 |
| Patient Name | Miss RINKI MAJHI | Contact No | 9073115110 |
| Address | 27 G T ROAD JHILBAGAN MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||