Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05531 | Date 30/10/2023 |
| Token No | SM/22-23/14856 30/10/2023 | Serial | 077 |
| Patient Name | Mrs. RATNA DEBNATH | Contact No | 7003180330 |
| Address | 66/Q F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||