Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04910 | Date 22/08/2023 |
| Token No | SM/25-26/11196 29/11/2025 | Serial | 036 |
| Patient Name | Mrs. SAGARIKA SAHA | Contact No | 9883081298 |
| Address | 25/A/7/2 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||