Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07103 | Date 24/06/2024 |
| Token No | SM/24-25/28641 23/09/2024 | Serial | 048 |
| Patient Name | Mrs. AFSANA KHATUN | Contact No | 7980677925 |
| Address | 36/E MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/50 mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||