Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07984 | Date 04/10/2024 |
| Token No | SM/24-25/29115 04/10/2024 | Serial | 078 |
| Patient Name | Mrs. ASHA KHATUN | Contact No | 7003666968 |
| Address | 91/E 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 | |||