Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05372 | Date 09/10/2023 |
| Token No | SM/22-23/14132 09/10/2023 | Serial | 052 |
| Patient Name | Mrs. RIZWANA KHATUN | Contact No | 7439712219 |
| Address | 26A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||