Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01594 | Date 20/05/2022 |
| Token No | SM/25-26/20666 27/08/2026 | Serial | 031 |
| Patient Name | Mrs. LATIKA GANGULY | Contact No | 9163726647 |
| Address | 22/Y/23 FIRINGI DANGA ROAD MALLICKPARA SERAMPORE 712203 | Age | 52 Years,6 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||