Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09019 | Date 02/04/2025 |
| Token No | SM/25-26/113 02/04/2025 | Serial | 084 |
| Patient Name | Mrs. SAKILA KHATUN | Contact No | 8961142337 |
| Address | 8/A A K AZAD ROAD UTTARPARA KONNAGAR M 712235 | Age | 31 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||