Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09850 | Date 01/09/2025 |
| Token No | SM/25-26/7502 04/09/2025 | Serial | 074 |
| Patient Name | Mrs. SONALI MUKHERJEE | Contact No | 8017876185 |
| Address | 74/A MALLICKPARA LANE SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 111/76 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||