Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06609 | Date 22/04/2024 |
| Token No | SM/24-25/21000 22/04/2024 | Serial | 044 |
| Patient Name | Mrs. JAYANTI DAS | Contact No | 8017764414 |
| Address | 66P/1 ANIS MOHAN ROY CHOUDHURY LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||