Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06827 | Date 22/05/2024 |
| Token No | SM/25-26/6828 25/08/2025 | Serial | 062 |
| Patient Name | Mrs. NAMITA DUTTA | Contact No | 9007724604 |
| Address | 4 DULEYPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||