Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01791 | Date 01/06/2022 |
| Token No | SM/24-25/37167 20/03/2025 | Serial | 050 |
| Patient Name | Mrs. KHUSBU MAHATO | Contact No | 8274034586 |
| Address | 10/L HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||