Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06449 | Date 19/03/2024 |
| Token No | SM/25-26/405 08/04/2025 | Serial | 031 |
| Patient Name | Mrs. JYOTI SHARMA | Contact No | 7980255596 |
| Address | 61/K G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||