Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02466 | Date 17/08/2022 |
| Token No | SM/25-26/11826 11/12/2025 | Serial | 053 |
| Patient Name | Mrs. RAHIMA BIBI | Contact No | 9163600780 |
| Address | 7 NO TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||