Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07939 | Date 23/09/2024 |
| Token No | SM/25-26/2160 17/05/2025 | Serial | 010 |
| Patient Name | Mrs. DOLI SAMANTA | Contact No | 7449879054 |
| Address | 21 TARA PUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||