Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05123 | Date 12/09/2023 |
| Token No | SM/22-23/13024 12/09/2023 | Serial | 048 |
| Patient Name | Miss AFRIN ISLAM | Contact No | 9674532389 |
| Address | 76/A MALLICKPARA LANE SERAMPORE 712203 | Age | 12 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||