Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06469 | Date 23/03/2024 |
| Token No | SM/24-25/35848 19/02/2025 | Serial | 013 |
| Patient Name | Mrs. MEHERUNNISA SHAWKAT KHAN | Contact No | 8643054783 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||