Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06610 | Date 22/04/2024 |
| Token No | SM/24-25/36781 11/03/2025 | Serial | 010 |
| Patient Name | Mrs. MOU BOSE | Contact No | 9836548598 |
| Address | 3/179 MAESH COLONY MAHESH SERAMPORE 712202 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||