Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03063 | Date 05/11/2022 |
| Token No | SM/22-23/5903 03/01/2023 | Serial | 036 |
| Patient Name | Mrs. SOUMI SAHA | Contact No | |
| Address | 54/A MALLICKPARA SERAMPORE 712203 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||