Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07484 | Date 19/07/2024 |
| Token No | SM/24-25/25180 19/07/2024 | Serial | 035 |
| Patient Name | Mrs. SAHANARA KHATUN | Contact No | 9903403303 |
| Address | 33 MALLICKPARA LANE SERAMPORE 712203 | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||