Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04180 | Date 15/05/2023 |
| Token No | SM/22-23/8838 15/05/2023 | Serial | 015 |
| Patient Name | Miss DILSAD PARVEEN | Contact No | 6291072893 |
| Address | 5 NO MALLICKPARA LANE SERAMPORE 712203 | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||