Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05854 | Date 13/12/2023 |
| Token No | SM/25-26/9757 31/10/2025 | Serial | 052 |
| Patient Name | Mrs. TUMPA GHOSH | Contact No | 8697353211 |
| Address | 65/A/1/A FIRINGI DANGA ROAD MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||