Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06343 | Date 23/02/2024 |
| Token No | SM/25-26/7773 10/09/2025 | Serial | 092 |
| Patient Name | Mrs. JHARNA DAS | Contact No | 7449730451 |
| Address | GHORAMARA EAST SERAMPORE 712203 | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||