Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08078 | Date 22/10/2024 |
| Token No | SM/24-25/33457 30/12/2024 | Serial | 055 |
| Patient Name | Mrs. RIMPA CHANDA | Contact No | 9903002046 |
| Address | 22/24/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||