Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01754 | Date 30/05/2022 |
| Token No | SM/25-26/7972 13/09/2025 | Serial | 042 |
| Patient Name | Mrs. SANDHYA BAG | Contact No | 8420094584 |
| Address | 30/13 TARAPUKUR LANE SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||