Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08729 | Date 14/02/2025 |
| Token No | SM/24-25/35649 14/02/2025 | Serial | 020 |
| Patient Name | Mrs. REKHA DAS | Contact No | 6290265709 |
| Address | 32/1 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||