Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04813 | Date 12/08/2023 |
| Token No | SM/24-25/24931 12/07/2024 | Serial | 042 |
| Patient Name | Mrs. KHAYERUNANESHA | Contact No | 7439012258 |
| Address | 18/A MIAJAN DARJI LANE SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||