Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10076 | Date 16/10/2025 |
| Token No | SM/25-26/9287 16/10/2025 | Serial | 087 |
| Patient Name | Mrs. SADHANA RANI GHOSH | Contact No | 8961153284 |
| Address | 65/19 F D OAD MALLICKPARA SERAMPORE 712203 | Age | 49 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||