Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06669 | Date 30/04/2024 |
| Token No | SM/24-25/23345 19/06/2024 | Serial | 037 |
| Patient Name | Mrs. SAYRA KHATUN | Contact No | 6290514469 |
| Address | 23 MIAJAN DARJEE LANE MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||