Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09600 | Date 21/07/2025 |
| Token No | SM/25-26/7468 04/09/2025 | Serial | 040 |
| Patient Name | Mrs. KEYA PAL | Contact No | 8759638854 |
| Address | ISHAN APARTMENT FL NO 402 MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||