Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06384 | Date 06/03/2024 |
| Token No | SM/25-26/15424 01/03/2026 | Serial | 027 |
| Patient Name | Mrs. NILAKSHI ROY | Contact No | 9836707991 |
| Address | 14/C SARAT CHANDRA CHATTOPADHYAY SARANI SERAMPORE 712203 | Age | 37 Years,2 Months,28 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||