Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08474 | Date 28/12/2024 |
| Token No | SM/25-26/954 21/04/2025 | Serial | 049 |
| Patient Name | Mrs. MOUMITA SIKDAR | Contact No | 6290037807 |
| Address | 65/46 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||