Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07792 | Date 02/09/2024 |
| Token No | SM/25-26/10378 13/11/2025 | Serial | 047 |
| Patient Name | Mrs. CHINU DAS | Contact No | 6289474393 |
| Address | 16A/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||