Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09636 | Date 24/07/2025 |
| Token No | SM/25-26/5312 24/07/2025 | Serial | 050 |
| Patient Name | Mrs. SUPARNA MONDAL | Contact No | 7076143845 |
| Address | 96 KUMIR JELA ROAD MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||