Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07159 | Date 26/06/2024 |
| Token No | SM/25-26/4023 26/06/2025 | Serial | 043 |
| Patient Name | Mrs. RAKHI NATH | Contact No | 9088661935 |
| Address | 13 G T ROAD HUMOR BAGAN MALLICKPARA SERAMPORE 712203 | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/56 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||