Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05282 | Date 28/09/2023 |
| Token No | SM/25-26/11377 03/12/2025 | Serial | 009 |
| Patient Name | Mrs. SARASWATI PASWAN | Contact No | 6290996458 |
| Address | 34/A TARAPUKUR LANE SERAMPORE M 712203 | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||