Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 11073 | Date 27/08/2026 |
| Token No | SM/25-26/20680 27/08/2026 | Serial | 045 |
| Patient Name | Mrs. ROSHNI KUMARI | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 28 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||