Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02489 | Date 18/08/2022 |
| Token No | SM/25-26/7625 08/09/2025 | Serial | 055 |
| Patient Name | Mrs. HASINA BIBI | Contact No | 6291176466 |
| Address | 121 2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||