Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10014 | Date 26/09/2025 |
| Token No | SM/25-26/8619 26/09/2025 | Serial | 024 |
| Patient Name | Mrs. PARAMA DAS | Contact No | 9874575017 |
| Address | 73/A MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||