Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09378 | Date 02/06/2025 |
| Token No | SM/25-26/2901 02/06/2025 | Serial | 024 |
| Patient Name | Mrs. PARBATI GHOSH | Contact No | 8420166516 |
| Address | 94 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||