Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08136 | Date 30/10/2024 |
| Token No | SM/25-26/22686 28/10/2026 | Serial | 003 |
| Patient Name | Mrs. MANJU ROY | Contact No | 9163333350 |
| Address | 72/A/4/C MALLICKPARA LANE SERAMPORE 712203 | Age | 65 Years,9 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/61 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||