Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04066 | Date 18/04/2023 |
| Token No | SM/22-23/8308 18/04/2023 | Serial | 037 |
| Patient Name | Mrs. RESHMA KHATOON | Contact No | 8777697704 |
| Address | 5/A/2 TARAPUKUR LANE SERAMPORE 712203 | Age | 28 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||