Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09076 | Date 09/04/2025 |
| Token No | SM/25-26/653 12/04/2025 | Serial | 018 |
| Patient Name | Mrs. TANJILA BEGAM | Contact No | 6289183296 |
| Address | 17 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||