Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04311 | Date 12/06/2023 |
| Token No | SM/25-26/7285 01/09/2025 | Serial | 103 |
| Patient Name | Mrs. ROSENARA BEGAM | Contact No | 6290339380 |
| Address | 9 MALLICKPARA LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||