Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02453 | Date 12/08/2022 |
| Token No | SM/22-23/2022 12/08/2022 | Serial | 044 |
| Patient Name | Mrs. AFSANA KHATOON | Contact No | 8436170138 |
| Address | 28 NO MALLICKPARA SERAMPORE 712203 | Age | 19 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||