Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09046 | Date 04/04/2025 |
| Token No | SM/25-26/236 04/04/2025 | Serial | 028 |
| Patient Name | Mrs. KUHELI DAS | Contact No | 7076338322 |
| Address | 53/B MALLICKPARA LANE SERAMPORE 72203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||