Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02422 | Date 10/08/2022 |
| Token No | SM/25-26/3195 09/06/2025 | Serial | 020 |
| Patient Name | Mrs. RUKMANI JHA | Contact No | 7439047548 |
| Address | HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||