Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04760 | Date 09/08/2023 |
| Token No | SM/22-23/12741 05/09/2023 | Serial | 014 |
| Patient Name | Mrs. HENA KHATOON | Contact No | 7439633489 |
| Address | 88 M.D LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||