Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04813 | Date 12/08/2023 |
| Token No | SM/22-23/11770 12/08/2023 | Serial | 021 |
| Patient Name | Mrs. KHAYERUNANESHA | Contact No | 7439012258 |
| Address | 18/A MIAJAN DARJI LANE SERAMPORE 712203 | Age | 64 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||