Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04716 | Date 04/08/2023 |
| Token No | SM/22-23/16800 21/12/2023 | Serial | 053 |
| Patient Name | Mrs. KHUSBOO SINGH | Contact No | 9163841618 |
| Address | 12E M D LANE MALLICKPARA SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||