Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07725 | Date 22/08/2024 |
| Token No | SM/24-25/27028 22/08/2024 | Serial | 032 |
| Patient Name | Mrs. AJIJA KHATUN | Contact No | 8697916625 |
| Address | 28 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||