Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04299 | Date 10/06/2023 |
| Token No | SM/22-23/9503 12/06/2023 | Serial | 022 |
| Patient Name | Mrs. YASMIN PARVEEN | Contact No | 7632980147 |
| Address | 135 MALLICKPARA SERAMPORE M 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||