Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05238 | Date 26/09/2023 |
| Token No | SM/22-23/13906 04/10/2023 | Serial | 023 |
| Patient Name | Mrs. KUMARI AMINA BIBI | Contact No | 8293880892 |
| Address | 68 MALLIKPARA LANE SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||