Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08041 | Date 18/10/2024 |
| Token No | SM/25-26/4794 16/07/2025 | Serial | 051 |
| Patient Name | Mrs. SASWATI DAS | Contact No | 6290984296 |
| Address | 2/B HARIPARA 2ND LANE SERAMPORE 712203 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||