Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09459 | Date 16/06/2025 |
| Token No | SM/25-26/11553 06/12/2025 | Serial | 051 |
| Patient Name | Mrs. SHILU DEVI | Contact No | 7595058175 |
| Address | 10 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||