Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05125 | Date 12/09/2023 |
| Token No | SM/22-23/13028 12/09/2023 | Serial | 052 |
| Patient Name | Mrs. SANDHYA DEBNATH | Contact No | 8478957176 |
| Address | 102 MALLICKPARA BYE LANE SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||