Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06924 | Date 03/06/2024 |
| Token No | SM/24-25/22671 03/06/2024 | Serial | 047 |
| Patient Name | Mrs. GOURI MAHATO | Contact No | 9475100476 |
| Address | MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||