Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00046 | Date 09/09/2019 |
| Token No | SM/25-26/8772 08/10/2025 | Serial | 024 |
| Patient Name | Mrs. LAXMI DAS | Contact No | 9836563586 |
| Address | 20 BAZAR BYE LANE SERAMPORE 712201 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||