Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03558 | Date 03/01/2023 |
| Token No | SM/22-23/5889 03/01/2023 | Serial | 022 |
| Patient Name | Mrs. NURBANU BEGUM | Contact No | 8100364168 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 26 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||