Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 02973 | Date 22/10/2022 |
| Token No | SM/22-23/7651 18/03/2023 | Serial | 004 |
| Patient Name | Mrs. SALEMA BIBI | Contact No | 8584998086 |
| Address | 15 MALLICKPARA LANE SERAMPORE 712203 | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||