Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08808 | Date 28/02/2025 |
| Token No | SM/25-26/5876 05/08/2025 | Serial | 042 |
| Patient Name | Mrs. SARMISTHA DUTTA | Contact No | 8906917825 |
| Address | 43/A G T ROAD JHILBAGAN MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||