Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09437 | Date 12/06/2025 |
| Token No | SM/25-26/3760 20/06/2025 | Serial | 008 |
| Patient Name | Mrs. EKTA SHAW | Contact No | 9123912681 |
| Address | 5/2 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||