Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00236 | Date 24/09/2019 |
| Token No | SM/25-26/10750 20/11/2025 | Serial | 063 |
| Patient Name | Mrs. SHANUYARA BIBI | Contact No | 7044162465 |
| Address | 11 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||