Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01325 | Date 01/04/2020 |
| Token No | SM/25-26/4367 03/07/2025 | Serial | 065 |
| Patient Name | Mrs. NARAYANI BAG | Contact No | 8777703918 |
| Address | 32/C TARAPUKUR LANE SERAMPORE MALLICKPAREA 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||