Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08053 | Date 21/10/2024 |
| Token No | SM/24-25/29700 21/10/2024 | Serial | 007 |
| Patient Name | Mrs. RESIDA BEGAM | Contact No | 9875520621 |
| Address | 1 CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 46 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||