Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03633 | Date 21/01/2023 |
| Token No | SM/22-23/6221 21/01/2023 | Serial | 017 |
| Patient Name | Miss AFSANA KHATOON | Contact No | 9051778242 |
| Address | 9 MALLICKPARA SERAMPORE 712203 | Age | 12 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||