Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06463 | Date 22/03/2024 |
| Token No | SM/25-26/4214 01/07/2025 | Serial | 029 |
| Patient Name | Mrs. LILY DAS | Contact No | 7439824108 |
| Address | 7/A SANIPARA BYE LANE MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||