Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09248 | Date 08/05/2025 |
| Token No | SM/25-26/1713 08/05/2025 | Serial | 015 |
| Patient Name | Mrs. PAMPA GHOSH | Contact No | 9477010807 |
| Address | 18/B SANIPARA LANE SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||