Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03564 | Date 03/01/2023 |
| Token No | SM/22-23/5902 03/01/2023 | Serial | 035 |
| Patient Name | Mrs. SAKINA KHATUN | Contact No | 7450961592 |
| Address | 11 GOPINATH SAHA STREET SERAMPORE 712201 | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||