Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08725 | Date 13/02/2025 |
| Token No | SM/24-25/35717 15/02/2025 | Serial | 042 |
| Patient Name | Mrs. RITA KARMAKAR | Contact No | 9163737603 |
| Address | 9/1/C F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||