Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08062 | Date 21/10/2024 |
| Token No | SM/25-26/6854 25/08/2025 | Serial | 088 |
| Patient Name | Mrs. MALATI HATUI | Contact No | 6289780657 |
| Address | 17/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||