Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05033 | Date 01/09/2023 |
| Token No | SM/22-23/16801 21/12/2023 | Serial | 054 |
| Patient Name | Mrs. SHRABONI MONDAL | Contact No | 8777055842 |
| Address | 26/A MIYAJAN DARJI LANE SERAMPORE M 712203 | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||