Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06792 | Date 15/05/2024 |
| Token No | SM/25-26/10898 22/11/2025 | Serial | 113 |
| Patient Name | Mrs. SUDIPTA MUKHERJEE | Contact No | 6297783050 |
| Address | ARAMBAG | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||