Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05713 | Date 23/11/2023 |
| Token No | SM/22-23/15747 23/11/2023 | Serial | 029 |
| Patient Name | Miss SANIYA KHATUN | Contact No | 6289755234 |
| Address | 33 MALLICKPARA LANE SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||