Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07829 | Date 04/09/2024 |
| Token No | SM/24-25/27690 04/09/2024 | Serial | 073 |
| Patient Name | Mrs. SABINA KHATUN | Contact No | 6290286879 |
| Address | 72/A/4/A/1 MALLICKPARA SERAMPORE 712203 | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||