Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09416 | Date 09/06/2025 |
| Token No | SM/25-26/3233 09/06/2025 | Serial | 058 |
| Patient Name | Mrs. TANUSREE ROY PATRA | Contact No | 9051355339 |
| Address | 42 KUMIRJALA ROAD MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||