Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01331 | Date 01/04/2020 |
| Token No | SM/25-26/981 21/04/2025 | Serial | 076 |
| Patient Name | Mrs. PRIYANKA SHAW | Contact No | 8777540958 |
| Address | 59/E MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/60 mmHg | Weight | 49 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||