Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07935 | Date 23/09/2024 |
| Token No | SM/24-25/28606 23/09/2024 | Serial | 013 |
| Patient Name | Mrs. SUPIYA BIBI | Contact No | 9088698935 |
| Address | 88/D MIAJAN DARJEE LANE SERAMPORE 712203 | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||