Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08684 | Date 06/02/2025 |
| Token No | SM/24-25/35483 10/02/2025 | Serial | 054 |
| Patient Name | Mrs. TARUBALA CHAKRABORTY | Contact No | 9331516388 |
| Address | 27 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||