Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06202 | Date 07/02/2024 |
| Token No | SM/22-23/18293 07/02/2024 | Serial | 030 |
| Patient Name | Mrs. RUHINA BIBI | Contact No | 7439349132 |
| Address | 23 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||