Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09587 | Date 17/07/2025 |
| Token No | SM/25-26/4924 18/07/2025 | Serial | 005 |
| Patient Name | Miss OHISMITA DUTTA | Contact No | 7605837981 |
| Address | 10 DULEY PARA LANE SERAMPORE 712203 | Age | 13 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||