Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08895 | Date 12/03/2025 |
| Token No | SM/24-25/36896 12/03/2025 | Serial | 084 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9874277949 |
| Address | 108/1 RAFI AHMED KIDWAI ROAD KOLKATA DUMDUM 700055 | Age | 76 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||