Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05925 | Date 21/12/2023 |
| Token No | SM/22-23/16806 21/12/2023 | Serial | 059 |
| Patient Name | Mrs. RUPA BARMAN BHATTACHARYA | Contact No | 8240301169 |
| Address | 56/B/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||