Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07408 | Date 09/07/2024 |
| Token No | SM/25-26/9070 13/10/2025 | Serial | 073 |
| Patient Name | Mrs. ALPANA CHAUDHURI DEY | Contact No | 9330707127 |
| Address | 35/C TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||