Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08456 | Date 26/12/2024 |
| Token No | SM/24-25/33263 26/12/2024 | Serial | 057 |
| Patient Name | Mrs. MADHUMITA DAS DEBNATH | Contact No | 8697360868 |
| Address | 14/B K P LANE SERAMPORE 712201 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||