Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04433 | Date 05/07/2023 |
| Token No | SM/25-26/2087 15/05/2025 | Serial | 050 |
| Patient Name | Mrs. SIKHA DEY CHATTERJEE | Contact No | 9903794049 |
| Address | 32/28 DOCTOR BAGAN LANE SERAMPORE 712222 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||