Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07669 | Date 14/08/2024 |
| Token No | SM/25-26/11073 27/11/2025 | Serial | 026 |
| Patient Name | Mrs. NAMITA SINHA | Contact No | 8981330626 |
| Address | 39/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||