Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09049 | Date 05/04/2025 |
| Token No | SM/25-26/499 09/04/2025 | Serial | 084 |
| Patient Name | Mrs. BARNALI MAHATA | Contact No | 8337062001 |
| Address | 37/B MALLICKPARA LANE SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||