Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07941 | Date 23/09/2024 |
| Token No | SM/24-25/29236 07/10/2024 | Serial | 048 |
| Patient Name | Mrs. TANIYA PARVEEN | Contact No | 7003924217 |
| Address | 92/D MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 30 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||