Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06492 | Date 30/03/2024 |
| Token No | SM/24-25/20774 16/04/2024 | Serial | 007 |
| Patient Name | Mrs. NAYEMA KHATUN | Contact No | 6290155074 |
| Address | 7 NO TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||