Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02138 | Date 04/07/2022 |
| Token No | SM/24-25/30649 05/11/2024 | Serial | 040 |
| Patient Name | Mrs. PURNIMA MONDAL | Contact No | 9830951818 |
| Address | F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||