Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04683 | Date 02/08/2023 |
| Token No | SM/25-26/10806 22/11/2025 | Serial | 021 |
| Patient Name | Mrs. SHAMPA KHAN | Contact No | 8910820226 |
| Address | BELUMILKI HOOGHLY 712223 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||