Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07613 | Date 08/08/2024 |
| Token No | SM/25-26/5574 30/07/2025 | Serial | 040 |
| Patient Name | Mrs. LALITA DUTTA | Contact No | 7439754985 |
| Address | 4 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||