Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02255 | Date 18/07/2022 |
| Token No | SM/22-23/1415 18/07/2022 | Serial | 038 |
| Patient Name | Mrs. AFSANA QURASHI | Contact No | 8013735505 |
| Address | 88/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||