Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08917 | Date 20/03/2025 |
| Token No | SM/24-25/37147 20/03/2025 | Serial | 030 |
| Patient Name | Mrs. DURGA DAS | Contact No | 9163519713 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||