Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04007 | Date 04/04/2023 |
| Token No | SM/22-23/14512 17/10/2023 | Serial | 055 |
| Patient Name | Mrs. LIPIKA GHOSH | Contact No | 7439617887 |
| Address | 8 PAGLA DANGA ROAD KOLKATA 700105 | Age | 28 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||