Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10283 | Date 09/12/2025 |
| Token No | SM/25-26/11735 09/12/2025 | Serial | 032 |
| Patient Name | Mrs. SIKHA DEY | Contact No | 7439268547 |
| Address | 56/G MALLICKPARA LANE SERAMPORE 712203 | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||