Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06596 | Date 20/04/2024 |
| Token No | SM/24-25/20936 20/04/2024 | Serial | 035 |
| Patient Name | Mrs. SASWATI DEY SIL | Contact No | 8240339952 |
| Address | 65/24 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||