Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04218 | Date 26/05/2023 |
| Token No | SM/25-26/257 05/04/2025 | Serial | 003 |
| Patient Name | Mrs. SOMA SARKAR | Contact No | 9903425841 |
| Address | 25/A/11 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||