Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08604 | Date 25/01/2025 |
| Token No | SM/24-25/34741 27/01/2025 | Serial | 052 |
| Patient Name | Mrs. NIBEDITA BHANGI | Contact No | 7605805822 |
| Address | 15/27 LENIN SARANI MALLIKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||