Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03073 | Date 07/11/2022 |
| Token No | SM/22-23/4131 07/11/2022 | Serial | 030 |
| Patient Name | Mrs. RABEYA KHATUN | Contact No | 6291642107 |
| Address | 35/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||