Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05932 | Date 26/12/2023 |
| Token No | SM/25-26/483 09/04/2025 | Serial | 068 |
| Patient Name | Mrs. SANOKA MONDAL | Contact No | 9874049324 |
| Address | 17A/7 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||