Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05608 | Date 07/11/2023 |
| Token No | SM/22-23/15248 07/11/2023 | Serial | 022 |
| Patient Name | Mrs. MANJARA KHATUN | Contact No | 7278945753 |
| Address | 33 MALLICKPARA BYE LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||