Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10009 | Date 25/09/2025 |
| Token No | SM/25-26/8555 25/09/2025 | Serial | 060 |
| Patient Name | Mrs. SIMA CHOWDHURY | Contact No | 9163577921 |
| Address | 101 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||