Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08757 | Date 20/02/2025 |
| Token No | SM/24-25/35904 20/02/2025 | Serial | 012 |
| Patient Name | Mrs. SHYAMALI DAS | Contact No | 9163519713 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||