Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08504 | Date 04/01/2025 |
| Token No | SM/25-26/4349 03/07/2025 | Serial | 047 |
| Patient Name | Mrs. RENUKA DAS | Contact No | 9231900637 |
| Address | 64 MALLICKPARA LANE SERAMPORE 712203 | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/50 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||