Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00016 | Date 06/09/2019 |
| Token No | SM/25-26/8240 19/09/2025 | Serial | 061 |
| Patient Name | Mrs. CHANDANA PODDER | Contact No | 9883262063 |
| Address | 10/3 HARIPARA LANE,SERAMPORE 712203 | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 117/68 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||