Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10152 | Date 08/11/2025 |
| Token No | SM/25-26/10156 08/11/2025 | Serial | 051 |
| Patient Name | Mrs. BABITA RAY | Contact No | 9339390495 |
| Address | 65/44 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||