Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08558 | Date 16/01/2025 |
| Token No | SM/24-25/34193 16/01/2025 | Serial | 033 |
| Patient Name | Mrs. CHANDRANI ROY | Contact No | 9007784413 |
| Address | 3 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||