Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02213 | Date 13/07/2022 |
| Token No | SM/25-26/1834 10/05/2025 | Serial | 015 |
| Patient Name | Mrs. UMA SAHA | Contact No | 8961320001 |
| Address | 22T/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||