Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02275 | Date 20/07/2022 |
| Token No | SM/22-23/1468 20/07/2022 | Serial | 005 |
| Patient Name | Mrs. SARASWATI GHOSH | Contact No | 9163545044 |
| Address | 22 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||