Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10220 | Date 24/11/2025 |
| Token No | SM/25-26/11395 03/12/2025 | Serial | 027 |
| Patient Name | Mrs. ANISHA KUMARI | Contact No | 7439410602 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||