Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06849 | Date 24/05/2024 |
| Token No | SM/24-25/22245 24/05/2024 | Serial | 016 |
| Patient Name | Miss SALMA MALLICK | Contact No | 9038767924 |
| Address | 28/D CHELE KHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 18 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||