Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09727 | Date 11/08/2025 |
| Token No | SM/25-26/6151 11/08/2025 | Serial | 016 |
| Patient Name | Mrs. AFREEN JARAR | Contact No | 6290160413 |
| Address | 17/E/1 TARAPUKUR LANE SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||