Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08968 | Date 26/03/2025 |
| Token No | SM/24-25/37453 26/03/2025 | Serial | 031 |
| Patient Name | Mrs. PARUL RUIDAS | Contact No | 7890547535 |
| Address | 12/A DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||