Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08239 | Date 20/11/2024 |
| Token No | SM/25-26/1657 07/05/2025 | Serial | 033 |
| Patient Name | Mrs. RAMA SINHA | Contact No | 9123816955 |
| Address | 39/A/3 TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||