Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08135 | Date 30/10/2024 |
| Token No | SM/24-25/30419 30/10/2024 | Serial | 077 |
| Patient Name | Mrs. PURNIMA DUTTA ROY | Contact No | 8013280381 |
| Address | 72A/4/B MALLICKPARA LANE SERAMPORE 712203 | Age | 59 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||