Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03338 | Date 07/12/2022 |
| Token No | SM/22-23/9312 05/06/2023 | Serial | 013 |
| Patient Name | Mrs. MAMATA DHARA | Contact No | 8420706296 |
| Address | 65/A/14 BIBEK PALLY SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||