Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08702 | Date 10/02/2025 |
| Token No | SM/24-25/35485 10/02/2025 | Serial | 056 |
| Patient Name | Mrs. JOLY GHOSH SINGHA KARMAKAR | Contact No | 7449718597 |
| Address | 44/1/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||