Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06936 | Date 05/06/2024 |
| Token No | SM/24-25/27969 09/09/2024 | Serial | 065 |
| Patient Name | Mrs. ANISHA BIBI | Contact No | 7980365526 |
| Address | SOCIETY MATH POLICE FARY SERAMPORE 712203 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||