Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06585 | Date 18/04/2024 |
| Token No | SM/25-26/10187 10/11/2025 | Serial | 001 |
| Patient Name | Mrs. SAINA PARVEEN | Contact No | 7980043595 |
| Address | 11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||