Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06170 | Date 03/02/2024 |
| Token No | SM/24-25/27518 02/09/2024 | Serial | 054 |
| Patient Name | Miss AFSANA KHATUN | Contact No | 6291869139 |
| Address | 85 MALLICKPARA LANE SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||