Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04669 | Date 01/08/2023 |
| Token No | SM/22-23/13459 23/09/2023 | Serial | 034 |
| Patient Name | Mrs. SIMRAN SHAW | Contact No | 9330416875 |
| Address | 143 B M ROAD KALI MANDIR CHAMPDANI BHADRESWAR 712222 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||