Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04476 | Date 10/07/2023 |
| Token No | SM/22-23/10373 10/07/2023 | Serial | 043 |
| Patient Name | Mrs. HOSSENARA BEGAM | Contact No | 6289438952 |
| Address | 88A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||