Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03064 | Date 05/11/2022 |
| Token No | SM/22-23/4097 05/11/2022 | Serial | 019 |
| Patient Name | Mrs. ARJUNA KHATOON | Contact No | 9831331624 |
| Address | 26A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 22 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||