Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05917 | Date 21/12/2023 |
| Token No | SM/24-25/29280 07/10/2024 | Serial | 092 |
| Patient Name | Mrs. TASLIMA BANU | Contact No | 8478081867 |
| Address | 13 KM BHATTACHARYA STREET SERAMPORE 712201 | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||