Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08056 | Date 21/10/2024 |
| Token No | SM/24-25/29708 21/10/2024 | Serial | 015 |
| Patient Name | Miss RUKSAR KHATUN | Contact No | 8274885492 |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||