Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07990 | Date 05/10/2024 |
| Token No | SM/24-25/29176 05/10/2024 | Serial | 060 |
| Patient Name | Miss ASIKA KHATUN | Contact No | 6290477140 |
| Address | 9 MALLICKPARA LANE SERAMPORE 712203 | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||