Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08761 | Date 21/02/2025 |
| Token No | SM/25-26/12610 31/12/2025 | Serial | 057 |
| Patient Name | Mrs. MAMATA GHOSH | Contact No | 6289955160 |
| Address | CHATRA SERAMPORE 712202 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||