Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08381 | Date 12/12/2024 |
| Token No | SM/25-26/651 12/04/2025 | Serial | 016 |
| Patient Name | Mrs. PUJA PAUL MITRA | Contact No | 6295945199 |
| Address | 61U G T ROAD BELTING BAZAR MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||