Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03439 | Date 19/12/2022 |
| Token No | SM/22-23/5415 19/12/2022 | Serial | 009 |
| Patient Name | Mrs. HOSANARA KHATUN | Contact No | 9230688037 |
| Address | 37/1 MALLICKPARA SERAMPORE 712203 | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||