Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09412 | Date 09/06/2025 |
| Token No | SM/25-26/3204 09/06/2025 | Serial | 029 |
| Patient Name | Mrs. SHARMILA SARKAR | Contact No | 9330353230 |
| Address | 143/401 BASUDEBPUR 18 BIGHA BASUDEBPUR CHINSURAH MAGRA 712503 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||