Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08347 | Date 05/12/2024 |
| Token No | SM/25-26/5363 25/07/2025 | Serial | 045 |
| Patient Name | Mrs. SUMI SARKAR | Contact No | 8583920534 |
| Address | 65/A/1 S C C SARANI BYE SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||