Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04251 | Date 30/05/2023 |
| Token No | SM/22-23/9234 01/06/2023 | Serial | 018 |
| Patient Name | Mrs. SABA FIRDOUS | Contact No | 9330712161 |
| Address | 4/B MIYAJAN DARJI LANE SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||