Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09270 | Date 12/05/2025 |
| Token No | SM/25-26/1915 12/05/2025 | Serial | 057 |
| Patient Name | Mrs. BANDANA DAS | Contact No | 9088249252 |
| Address | 15 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||