Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03735 | Date 09/02/2023 |
| Token No | SM/24-25/25196 19/07/2024 | Serial | 051 |
| Patient Name | Mrs. ANSARI BEGUM | Contact No | 9063913341 |
| Address | 9 NO MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||