Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06204 | Date 08/02/2024 |
| Token No | SM/22-23/18309 08/02/2024 | Serial | 004 |
| Patient Name | Mrs. WAJDA TABASSUM | Contact No | 7439886933 |
| Address | 4 RYAL LANE SERAMPORE 712201 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||