Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02137 | Date 04/07/2022 |
| Token No | SM/22-23/1069 04/07/2022 | Serial | 036 |
| Patient Name | Miss PUSPITA MONDAL | Contact No | 9830951818 |
| Address | F D ROAD SERAMPORE MALLICKPARA 712203 | Age | 6 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||