Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00190 | Date 17/09/2019 |
| Token No | SM/25-26/9298 16/10/2025 | Serial | 098 |
| Patient Name | Mrs. JHUMA NANDY | Contact No | 7450073760 |
| Address | 76X TARAPUKUR LANE,SERAMPORE HOOGHLY 712203 | Age | 51 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||