Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02454 | Date 12/08/2022 |
| Token No | SM/22-23/3230 30/09/2022 | Serial | 047 |
| Patient Name | Mrs. TABASSUM KHATOON | Contact No | 7044143274 |
| Address | 14/A MALLICKPARA SERAMPORE 712203 | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||