Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06081 | Date 19/01/2024 |
| Token No | SM/25-26/6689 21/08/2025 | Serial | 055 |
| Patient Name | Mrs. KALPANA DEY | Contact No | 9433572419 |
| Address | 27 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 74 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||