Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02853 | Date 08/10/2022 |
| Token No | SM/22-23/5901 03/01/2023 | Serial | 034 |
| Patient Name | Mrs. FIROJA KHATUN | Contact No | 6290638067 |
| Address | 89/C MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||