Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05312 | Date 03/10/2023 |
| Token No | SM/22-23/13936 04/10/2023 | Serial | 053 |
| Patient Name | Mrs. SABITA SEN | Contact No | 8797259709 |
| Address | 121/1 RAJYADHARPUR GOVT COLONY MALLIKPARA 712203 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||