Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06857 | Date 25/05/2024 |
| Token No | SM/25-26/2125 16/05/2025 | Serial | 018 |
| Patient Name | Mrs. ANJALI KUMARI GHOSH | Contact No | 9143036905 |
| Address | 65/L/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 80/50 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||