Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08160 | Date 06/11/2024 |
| Token No | SM/24-25/30675 06/11/2024 | Serial | 012 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9681928649 |
| Address | 48 SERAMPORE COLONY SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||