Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09162 | Date 23/04/2025 |
| Token No | SM/25-26/7688 10/09/2025 | Serial | 007 |
| Patient Name | Mrs. SWAPNA BANERJEE | Contact No | 9051744917 |
| Address | 23 T.P BHATTACHARYA STREET SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||