Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04031 | Date 10/04/2023 |
| Token No | SM/22-23/8082 10/04/2023 | Serial | 016 |
| Patient Name | Mrs. RUBINA BIBI | Contact No | 9477974199 |
| Address | 9 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||