Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08802 | Date 27/02/2025 |
| Token No | SM/24-25/36189 27/02/2025 | Serial | 058 |
| Patient Name | Mrs. KALPANA DAS | Contact No | 9883251374 |
| Address | 10/J HAIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||