Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02224 | Date 14/07/2022 |
| Token No | SM/22-23/3091 26/09/2022 | Serial | 060 |
| Patient Name | Mrs. SABITA DAS | Contact No | 8609620522 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 30 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||