Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09883 | Date 03/09/2025 |
| Token No | SM/25-26/7424 03/09/2025 | Serial | 080 |
| Patient Name | Mrs. ARATI NATH | Contact No | 6289604231 |
| Address | 24/C TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||