Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10147 | Date 06/11/2025 |
| Token No | SM/25-26/11235 29/11/2025 | Serial | 075 |
| Patient Name | Mrs. SHIKHA DAS | Contact No | 9681928649 |
| Address | 48 SERAMPORE COLONY SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||