Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08953 | Date 24/03/2025 |
| Token No | SM/24-25/37357 24/03/2025 | Serial | 063 |
| Patient Name | Mrs. CHAITALI GHOSH | Contact No | 6291799339 |
| Address | 56/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||