Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06022 | Date 08/01/2024 |
| Token No | SM/25-26/11961 15/12/2025 | Serial | 004 |
| Patient Name | Mrs. ANGUR BIBI | Contact No | 7596923062 |
| Address | CHAKAPARA MALLICKPARA SERAMPORE 712203 | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||