Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01905 | Date 13/06/2022 |
| Token No | SM/25-26/5716 02/08/2025 | Serial | 030 |
| Patient Name | Mrs. KALPANA GHAURI | Contact No | 9830111076 |
| Address | 29/C G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||