Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06075 | Date 18/01/2024 |
| Token No | SM/25-26/8726 07/10/2025 | Serial | 022 |
| Patient Name | Mrs. ARATI DUTTA | Contact No | 8820053189 |
| Address | TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||