Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06507 | Date 01/04/2024 |
| Token No | SM/25-26/8034 15/09/2025 | Serial | 050 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 7044612463 |
| Address | 14/A MALLICKPARA LANE SERAMPORE 712203 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 105/71 mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||