Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03312 | Date 05/12/2022 |
| Token No | SM/24-25/21320 29/04/2024 | Serial | 036 |
| Patient Name | Miss ALEYA KHATUN | Contact No | 8100364168 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||