Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08474 | Date 28/12/2024 |
| Token No | SM/24-25/33354 28/12/2024 | Serial | 018 |
| Patient Name | Mrs. MOUMITA SIKDAR | Contact No | 6290037807 |
| Address | 65/46 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||