Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06497 | Date 30/03/2024 |
| Token No | SM/25-26/9376 18/10/2025 | Serial | 022 |
| Patient Name | Mrs. SIKHA GHOSH | Contact No | 9062317636 |
| Address | 3/29 1NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||