Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02982 | Date 22/10/2022 |
| Token No | SM/22-23/5331 15/12/2022 | Serial | 021 |
| Patient Name | Mrs. ARJUNA KHATUN | Contact No | 7278071331 |
| Address | 35/A/1 MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||