Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07182 | Date 27/06/2024 |
| Token No | SM/25-26/11360 02/12/2025 | Serial | 022 |
| Patient Name | Mrs. SANGITA KOIRI | Contact No | 7890401311 |
| Address | 24/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||