Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06040 | Date 09/01/2024 |
| Token No | SM/25-26/10937 24/11/2025 | Serial | 038 |
| Patient Name | Mrs. SOMA DAS | Contact No | 8334003672 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||