Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09082 | Date 09/04/2025 |
| Token No | SM/25-26/1857 10/05/2025 | Serial | 038 |
| Patient Name | Mrs. SIMRAN KHATUN | Contact No | 8777059486 |
| Address | 17/D TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||