Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02139 | Date 04/07/2022 |
| Token No | SM/25-26/15471 02/03/2026 | Serial | 047 |
| Patient Name | Mrs. SWAPNA OJHA | Contact No | 9830951818 |
| Address | 24/I F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 59 Years,9 Months,22 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||