Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03389 | Date 13/12/2022 |
| Token No | SM/22-23/5246 13/12/2022 | Serial | 005 |
| Patient Name | Miss ARUNIMA DESHMUKH | Contact No | 7439574969 |
| Address | 65/J F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||