Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07294 | Date 01/07/2024 |
| Token No | SM/25-26/7635 08/09/2025 | Serial | 065 |
| Patient Name | Mrs. PAMPA MONDAL | Contact No | 8013383218 |
| Address | 23/A G T ROAD MALLICKPARA SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 143/78 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||