Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07220 | Date 28/06/2024 |
| Token No | SM/25-26/5699 02/08/2025 | Serial | 013 |
| Patient Name | Mrs. RIA MUKHERJEE | Contact No | 9123855568 |
| Address | 38/B MALLICKPARA LANE SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||