Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07824 | Date 04/09/2024 |
| Token No | SM/24-25/27675 04/09/2024 | Serial | 058 |
| Patient Name | Mrs. LIPTA SIL | Contact No | 9163044670 |
| Address | 22/24/9 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||