Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08192 | Date 12/11/2024 |
| Token No | SM/25-26/3764 20/06/2025 | Serial | 012 |
| Patient Name | Mrs. MANJU DAS | Contact No | 7980493663 |
| Address | 22/3/A F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||