Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05469 | Date 18/10/2023 |
| Token No | SM/22-23/16803 21/12/2023 | Serial | 056 |
| Patient Name | Mrs. SNEHALATA SAHOO | Contact No | 8917425591 |
| Address | 65/28 F D ROAD BIBEK PALLY SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||