Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03149 | Date 16/11/2022 |
| Token No | SM/25-26/4157 30/06/2025 | Serial | 068 |
| Patient Name | Mrs. JHARNA GHOSH | Contact No | 9062608345 |
| Address | 12 DULEY PARA LANE MALLICKPARA SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||