Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09672 | Date 30/07/2025 |
| Token No | SM/25-26/5582 30/07/2025 | Serial | 048 |
| Patient Name | Mrs. SUMITA SINGH | Contact No | 7596976547 |
| Address | 1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||