Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09897 | Date 06/09/2025 |
| Token No | SM/25-26/8850 09/10/2025 | Serial | 034 |
| Patient Name | Mrs. TANNU ROY | Contact No | 9113496887 |
| Address | 62/6 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||