Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04005 | Date 04/04/2023 |
| Token No | SM/22-23/8312 18/04/2023 | Serial | 041 |
| Patient Name | Mrs. PARAMITA DAS | Contact No | 9681204577 |
| Address | 94 G.T ROAD MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||