Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02469 | Date 17/08/2022 |
| Token No | SM/22-23/2155 22/08/2022 | Serial | 009 |
| Patient Name | Mrs. ROFAN BIBI | Contact No | 8697447524 |
| Address | 83 SERAMPORE MALLICKPARA LANE SERAMPORE 712203 | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||