Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02554 | Date 25/08/2022 |
| Token No | SM/22-23/2290 25/08/2022 | Serial | 022 |
| Patient Name | Mrs. ANJUARA BEGUM | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||