Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02185 | Date 07/07/2022 |
| Token No | SM/22-23/1206 07/07/2022 | Serial | 028 |
| Patient Name | Mrs. RINA KHATUN | Contact No | 6290855622 |
| Address | 32/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||