Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06909 | Date 31/05/2024 |
| Token No | SM/25-26/2130 16/05/2025 | Serial | 023 |
| Patient Name | Mrs. SAKILA BEGAM | Contact No | 9330392625 |
| Address | 31/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||