Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04517 | Date 15/07/2023 |
| Token No | SM/22-23/10585 15/07/2023 | Serial | 032 |
| Patient Name | Mrs. SASWATI SIL | Contact No | 8240339952 |
| Address | 65/24 F D ROAD SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||