Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09983 | Date 19/09/2025 |
| Token No | SM/25-26/8623 26/09/2025 | Serial | 028 |
| Patient Name | Mrs. KUHELI DEBNATH | Contact No | 9330089490 |
| Address | OM APP 4TH FLOOR FL D3 4/A/1 BISWANATH JOT SARANI SERAMPORE 712201 | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||