Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08858 | Date 08/03/2025 |
| Token No | SM/24-25/36665 08/03/2025 | Serial | 075 |
| Patient Name | Mrs. MONAMI HALDER | Contact No | 8282826612 |
| Address | 87 MALLICKPARA LANE SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||