Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06050 | Date 11/01/2024 |
| Token No | SM/25-26/11331 01/12/2025 | Serial | 059 |
| Patient Name | Mrs. MINASKHI MAZUMDER | Contact No | 9874769307 |
| Address | 23B/1 G T ROAD WEST SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||