Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08749 | Date 19/02/2025 |
| Token No | SM/24-25/35859 19/02/2025 | Serial | 024 |
| Patient Name | Mrs. TAMALIKA CHAKRABORTY | Contact No | 6290969678 |
| Address | 5/5 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||