Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04218 | Date 26/05/2023 |
| Token No | SM/24-25/32271 05/12/2024 | Serial | 002 |
| Patient Name | Mrs. SOMA SARKAR | Contact No | 9903425841 |
| Address | 25/A/11 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||