Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06080 | Date 19/01/2024 |
| Token No | SM/22-23/17623 19/01/2024 | Serial | 011 |
| Patient Name | Miss ROHINA KHATUN | Contact No | 9088028658 |
| Address | 18/A MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||