Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09754 | Date 14/08/2025 |
| Token No | SM/25-26/6591 19/08/2025 | Serial | 050 |
| Patient Name | Mrs. PRIYANKA DUTTA | Contact No | 7204695994 |
| Address | 108/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||