Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06450 | Date 20/03/2024 |
| Token No | SM/24-25/25907 01/08/2024 | Serial | 058 |
| Patient Name | Mrs. JOHARA KHATUN | Contact No | 8420168867 |
| Address | 12 MALLIKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||