Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08950 | Date 24/03/2025 |
| Token No | SM/24-25/37345 24/03/2025 | Serial | 051 |
| Patient Name | Mrs. RIMPA RUIDAS | Contact No | 6289241276 |
| Address | 18/A DR B R AMBEDKAR LANE SANIPARA SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||