Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05188 | Date 21/09/2023 |
| Token No | SM/25-26/5807 04/08/2025 | Serial | 064 |
| Patient Name | Miss SAHEBA KHATOON | Contact No | 6289383341 |
| Address | 106 G.T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||