Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02891 | Date 14/10/2022 |
| Token No | SM/22-23/3454 14/10/2022 | Serial | 023 |
| Patient Name | Mrs. SASWATI DEY | Contact No | 8240339952 |
| Address | 65/24 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||