Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09118 | Date 17/04/2025 |
| Token No | SM/25-26/2701 28/05/2025 | Serial | 048 |
| Patient Name | Mrs. BIPASHA GHOSH | Contact No | 8013963420 |
| Address | 8/G/5 ZAMIDAR BAGAN LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||