Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08857 | Date 08/03/2025 |
| Token No | SM/24-25/36687 10/03/2025 | Serial | 019 |
| Patient Name | Mrs. RANI PAL | Contact No | 9088867040 |
| Address | 65/A/51 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||