Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09750 | Date 13/08/2025 |
| Token No | SM/25-26/6304 13/08/2025 | Serial | 041 |
| Patient Name | Mrs. KRISHNA RUIDAS | Contact No | 9875448086 |
| Address | 10 DR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||