Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09017 | Date 02/04/2025 |
| Token No | SM/25-26/1136 24/04/2025 | Serial | 037 |
| Patient Name | Mrs. MADHABI PAUL | Contact No | 9007115173 |
| Address | 22/24/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||