Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02772 | Date 24/09/2022 |
| Token No | SM/22-23/3005 24/09/2022 | Serial | 014 |
| Patient Name | Mrs. ISHRAT JAHAN | Contact No | 9123663995 |
| Address | 4 NO ROYGHAT LANE SERAMPORE 712201 | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||