Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08385 | Date 12/12/2024 |
| Token No | SM/24-25/35310 07/02/2025 | Serial | 022 |
| Patient Name | Mrs. PUJA RAJAK | Contact No | 9088316969 |
| Address | 18/E HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||