Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04906 | Date 22/08/2023 |
| Token No | SM/22-23/12148 22/08/2023 | Serial | 016 |
| Patient Name | Miss MARIYA KHATOON | Contact No | 9748022389 |
| Address | 18/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||