Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08686 | Date 07/02/2025 |
| Token No | SM/24-25/35320 07/02/2025 | Serial | 032 |
| Patient Name | Mrs. BHABANI SIL | Contact No | 9163931102 |
| Address | 10/L HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||