Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08856 | Date 08/03/2025 |
| Token No | SM/24-25/36662 08/03/2025 | Serial | 072 |
| Patient Name | Mrs. RINKI MANDAL | Contact No | 9547814680 |
| Address | 85 KUMIR JALA ROAD MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||