Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01954 | Date 17/06/2022 |
| Token No | SM/22-23/4007 03/11/2022 | Serial | 021 |
| Patient Name | Mrs. MANJU MALLICK | Contact No | 9038767924 |
| Address | 28/D CHELEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||