Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04792 | Date 11/08/2023 |
| Token No | SM/22-23/13203 16/09/2023 | Serial | 053 |
| Patient Name | Mrs. SALMA KHATUN | Contact No | 8017886782 |
| Address | 85 MALLICKPARA LANE SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||