Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05605 | Date 06/11/2023 |
| Token No | SM/25-26/2469 22/05/2025 | Serial | 075 |
| Patient Name | Mrs. RINA CHATTERJEE | Contact No | 9874746403 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||