Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06215 | Date 08/02/2024 |
| Token No | SM/25-26/5146 22/07/2025 | Serial | 034 |
| Patient Name | Mrs. PIU DAS | Contact No | 9123043807 |
| Address | 14/A DR B R AMBEDKAR LANE SERAMPORE M 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||