Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01427 | Date 15/04/2020 |
| Token No | SM/25-26/9354 17/10/2025 | Serial | 056 |
| Patient Name | Mrs. BANDANA SEN | Contact No | 8420102510 |
| Address | 1 NO SANIPARA BYE LANE SERAMPORE 712203 | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||