Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08787 | Date 24/02/2025 |
| Token No | SM/24-25/37472 26/03/2025 | Serial | 050 |
| Patient Name | Mrs. CHANDA MAHATO | Contact No | 7278736479 |
| Address | 3/A DOCTOR B R AMBEDKAR LANE SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/50 mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||