Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03336 | Date 06/12/2022 |
| Token No | SM/22-23/5040 06/12/2022 | Serial | 038 |
| Patient Name | Mrs. ANJU DESHMUKH | Contact No | 9874735284 |
| Address | 65J F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 51 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||