Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07973 | Date 01/10/2024 |
| Token No | SM/24-25/33092 21/12/2024 | Serial | 049 |
| Patient Name | Mrs. RESHMA BEGAM | Contact No | 8919680088 |
| Address | 93/D MIAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||