Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07538 | Date 29/07/2024 |
| Token No | SM/25-26/12325 23/12/2025 | Serial | 030 |
| Patient Name | Mrs. REKHA SARKAR | Contact No | 8697883383 |
| Address | 23/1 G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||