Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04439 | Date 05/07/2023 |
| Token No | SM/22-23/10221 05/07/2023 | Serial | 040 |
| Patient Name | Mrs. SIRIN SULTANA | Contact No | 8981132676 |
| Address | 17/B/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||