Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06956 | Date 07/06/2024 |
| Token No | SM/25-26/10549 17/11/2025 | Serial | 024 |
| Patient Name | Miss SAYANEE AROS | Contact No | 9433854870 |
| Address | 12/A SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||