Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09120 | Date 17/04/2025 |
| Token No | SM/25-26/2876 31/05/2025 | Serial | 045 |
| Patient Name | Mrs. RUMI RUIDAS | Contact No | 9748123017 |
| Address | 8A MUCHIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/40 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||