Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09267 | Date 12/05/2025 |
| Token No | SM/25-26/1901 12/05/2025 | Serial | 043 |
| Patient Name | Mrs. MUNMUN DUTTA | Contact No | 7439286550 |
| Address | 56 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||