Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09215 | Date 05/05/2025 |
| Token No | SM/25-26/1582 05/05/2025 | Serial | 067 |
| Patient Name | Mrs. BINDU DEVI | Contact No | 9693941643 |
| Address | 10 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||