Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06824 | Date 22/05/2024 |
| Token No | SM/25-26/12253 22/12/2025 | Serial | 013 |
| Patient Name | Mrs. SAROJ KUMARI | Contact No | 7450916047 |
| Address | 10/C HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||