Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10045 | Date 10/10/2025 |
| Token No | SM/25-26/8902 10/10/2025 | Serial | 018 |
| Patient Name | Mrs. SUMANA SARKAR | Contact No | 7980313779 |
| Address | 35/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||