Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06608 | Date 22/04/2024 |
| Token No | SM/24-25/20999 22/04/2024 | Serial | 043 |
| Patient Name | Mrs. KAJAL KUMARI | Contact No | 7890232491 |
| Address | 22/2 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||