Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09244 | Date 07/05/2025 |
| Token No | SM/25-26/1692 07/05/2025 | Serial | 068 |
| Patient Name | Mrs. TAPASI DUTTA | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||