Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06465 | Date 22/03/2024 |
| Token No | SM/25-26/6501 18/08/2025 | Serial | 039 |
| Patient Name | Mrs. HEMA GHORAI | Contact No | 9123805803 |
| Address | 102 G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 39 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||