Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07642 | Date 10/08/2024 |
| Token No | SM/24-25/26655 14/08/2024 | Serial | 055 |
| Patient Name | Mrs. AMENA BIBI | Contact No | 8017058055 |
| Address | 86/A MALLICKPARA LANE SERAMPORE 712203 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||