Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08603 | Date 24/01/2025 |
| Token No | SM/24-25/34619 24/01/2025 | Serial | 032 |
| Patient Name | Mrs. MOUMITA DAS SAHA | Contact No | 8240010885 |
| Address | 65/K F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||