Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08756 | Date 20/02/2025 |
| Token No | SM/24-25/35903 20/02/2025 | Serial | 011 |
| Patient Name | Miss MUKTI SARKAR | Contact No | 9163547846 |
| Address | 22 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||