Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02555 | Date 25/08/2022 |
| Token No | SM/22-23/2294 25/08/2022 | Serial | 026 |
| Patient Name | Mrs. HENA KHAN | Contact No | 7439911795 |
| Address | 59 MALLICKPARA SERAMPORE 712203 | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||