Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08659 | Date 04/02/2025 |
| Token No | SM/25-26/2575 26/05/2025 | Serial | 026 |
| Patient Name | Mrs. ADITI SAHA | Contact No | 7407646476 |
| Address | 4/II/1 MALLICKPARA BYE LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||