Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09214 | Date 05/05/2025 |
| Token No | SM/25-26/1576 05/05/2025 | Serial | 061 |
| Patient Name | Mrs. NILIMA DAS | Contact No | 8910099382 |
| Address | 8/A DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||