Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05131 | Date 13/09/2023 |
| Token No | SM/24-25/32762 14/12/2024 | Serial | 016 |
| Patient Name | Mrs. SUTAPA DAS | Contact No | 7278226249 |
| Address | 22/B/2/J ANISH MOHAN ROYCHOWDHURY SARANI SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||