Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03283 | Date 29/11/2022 |
| Token No | SM/22-23/10265 06/07/2023 | Serial | 033 |
| Patient Name | Mrs. KHUSNUR ALAMGIR | Contact No | 9830776598 |
| Address | 65 MALLICKPARA SERAMPORE 712203 | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||