Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08966 | Date 26/03/2025 |
| Token No | SM/24-25/37443 26/03/2025 | Serial | 021 |
| Patient Name | Mrs. JYOTSANA DAS | Contact No | 9674362852 |
| Address | 14/1/2A HARIPARA LANE SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||