Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03885 | Date 04/03/2023 |
| Token No | SM/25-26/4564 11/07/2025 | Serial | 019 |
| Patient Name | Mrs. GURIYA RAY | Contact No | 8961941308 |
| Address | 10/B HARIPARA MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||