Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07426 | Date 11/07/2024 |
| Token No | SM/24-25/24851 11/07/2024 | Serial | 032 |
| Patient Name | Mrs. BELA GHOSH | Contact No | 7605879126 |
| Address | 85 MALLICKPARA LANE SERAMPORE 712203 | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||