Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08352 | Date 05/12/2024 |
| Token No | SM/24-25/32311 05/12/2024 | Serial | 042 |
| Patient Name | Mrs. BANASHREE SAHA | Contact No | 9830619515 |
| Address | 65/U/3 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||