Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06171 | Date 03/02/2024 |
| Token No | SM/22-23/18128 03/02/2024 | Serial | 025 |
| Patient Name | Mrs. REHANA KHATUN | Contact No | 7003036928 |
| Address | 85 MALLICKPARA LANE SERAMPORE 712203 | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||