Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06649 | Date 27/04/2024 |
| Token No | SM/25-26/8634 27/09/2025 | Serial | 004 |
| Patient Name | Mrs. SARMISTHA SARKAR | Contact No | 9123855568 |
| Address | 38/B MALLICKPARA LANE SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||