Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09582 | Date 17/07/2025 |
| Token No | SM/25-26/4842 17/07/2025 | Serial | 019 |
| Patient Name | Mrs. MANJU MISHRA | Contact No | 9874605411 |
| Address | 65/18 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||