Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07474 | Date 18/07/2024 |
| Token No | SM/25-26/9548 25/10/2025 | Serial | 014 |
| Patient Name | Mrs. RIYA SAHA | Contact No | 9874658107 |
| Address | 13 MIAJAAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||