Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03806 | Date 20/02/2023 |
| Token No | SM/25-26/11081 27/11/2025 | Serial | 034 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 8910310046 |
| Address | 32/B TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||