Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09544 | Date 07/07/2025 |
| Token No | SM/25-26/4422 07/07/2025 | Serial | 017 |
| Patient Name | Mrs. LOPAMUDRA MAJUMDER | Contact No | 7003949567 |
| Address | FL NO 202 2ND FLOOR MAHADEB APARTMENT MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||