Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08039 | Date 18/10/2024 |
| Token No | SM/25-26/10817 22/11/2025 | Serial | 032 |
| Patient Name | Mrs. CHHABI DAS | Contact No | 9903232922 |
| Address | 2/B HARIPARA 2ND LANE SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||