Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04262 | Date 01/06/2023 |
| Token No | SM/22-23/9224 01/06/2023 | Serial | 008 |
| Patient Name | Mrs. SUSMITA MONDAL | Contact No | 9330947853 |
| Address | 26/A/16 FIRINGI DANGA ROAD SERAMPORE 712203 | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||