Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08422 | Date 20/12/2024 |
| Token No | SM/24-25/36419 06/03/2025 | Serial | 025 |
| Patient Name | Mrs. DONA PAUL | Contact No | 6290677597 |
| Address | 65/A/1/A F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||