Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03847 | Date 01/03/2023 |
| Token No | SM/22-23/7149 01/03/2023 | Serial | 022 |
| Patient Name | Mrs. FIROZA BIBI | Contact No | 8583896687 |
| Address | 29/B/2 MIAJAN DARJEE LANE SERAMPORE 712203 | Age | 66 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||