Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01751 | Date 30/05/2022 |
| Token No | SM/22-23/230 30/05/2022 | Serial | 028 |
| Patient Name | Mrs. RESHMA BIBI | Contact No | 8420747625 |
| Address | 2/D CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||