Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09140 | Date 21/04/2025 |
| Token No | SM/25-26/1095 23/04/2025 | Serial | 066 |
| Patient Name | Mrs. MONIKA DUTTA | Contact No | 7605837981 |
| Address | 10 DULEY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||