Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06836 | Date 23/05/2024 |
| Token No | SM/25-26/3182 09/06/2025 | Serial | 007 |
| Patient Name | Miss AISHWARYA DAS | Contact No | 9038217769 |
| Address | 10/P HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||