Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02181 | Date 07/07/2022 |
| Token No | SM/22-23/3968 02/11/2022 | Serial | 019 |
| Patient Name | Mrs. NANDITA SAHA | Contact No | 7003981428 |
| Address | 22/T/1 F D ROAD SERAMPORE MALLICKPARA 712203 | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||