Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06277 | Date 13/02/2024 |
| Token No | SM/25-26/3920 24/06/2025 | Serial | 028 |
| Patient Name | Mrs. CHANDANI ANSARI | Contact No | 8981106215 |
| Address | 19 MALLICKPARA LANE SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||