Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09182 | Date 28/04/2025 |
| Token No | SM/25-26/1404 30/04/2025 | Serial | 029 |
| Patient Name | Mrs. SUSMITA PALIT | Contact No | 7980049023 |
| Address | 10/F HARIPARA LANE SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||