Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05531 | Date 30/10/2023 |
| Token No | SM/22-23/18126 03/02/2024 | Serial | 023 |
| 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 | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||