Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04583 | Date 24/07/2023 |
| Token No | SM/22-23/10870 24/07/2023 | Serial | 038 |
| Patient Name | Mrs. MINU BEGAM | Contact No | 9051606468 |
| Address | 9 MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||