Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08483 | Date 30/12/2024 |
| Token No | SM/25-26/7367 03/09/2025 | Serial | 023 |
| Patient Name | Mrs. PRATIMA PAUL | Contact No | 9903002046 |
| Address | 22/24/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||