Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07587 | Date 05/08/2024 |
| Token No | SM/25-26/10797 22/11/2025 | Serial | 012 |
| Patient Name | Mrs. NILIMA RUIDAS | Contact No | 9051879410 |
| Address | 88 MUCHIPARA LANE DR AMBEDKAR LANE SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||