Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08807 | Date 28/02/2025 |
| Token No | SM/24-25/36207 28/02/2025 | Serial | 018 |
| Patient Name | Mrs. KAKALI SINGH | Contact No | 7890074634 |
| Address | 10/Q HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||