Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08059 | Date 21/10/2024 |
| Token No | SM/24-25/29722 21/10/2024 | Serial | 029 |
| Patient Name | Mrs. SULTANA KHATUN | Contact No | 9875520621 |
| Address | 1/A CHILEKHANA ROAD MALLICKPARA SERAMPORE 712203 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||