Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05643 | Date 10/11/2023 |
| Token No | SM/22-23/15435 10/11/2023 | Serial | 033 |
| Patient Name | Miss SANOWARA KHATUN | Contact No | 9163763601 |
| Address | 88A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||