Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05720 | Date 24/11/2023 |
| Token No | SM/25-26/10652 19/11/2025 | Serial | 012 |
| Patient Name | Miss ADRIJA BAG | Contact No | 7278438149 |
| Address | 32/C TARAPUKUR LANE SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 145CM cm |
| Diagnosis | |||