Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07920 | Date 20/09/2024 |
| Token No | SM/24-25/28491 20/09/2024 | Serial | 041 |
| Patient Name | Mrs. RANI KHAN | Contact No | 6290957719 |
| Address | 14/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||