Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06835 | Date 23/05/2024 |
| Token No | SM/25-26/1195 25/04/2025 | Serial | 028 |
| Patient Name | Miss JAYASHREE CHANDA | Contact No | 9883992027 |
| Address | 12/A DULE PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||