Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06092 | Date 24/01/2024 |
| Token No | SM/22-23/18001 31/01/2024 | Serial | 042 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 9647976092 |
| Address | 22/1/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||