Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 00081 | Date 12/09/2019 |
| Token No | SM/24-25/30387 30/10/2024 | Serial | 045 |
| Patient Name | Miss ALIYA KHATUN | Contact No | 9432063846 |
| Address | 9 NO MALLICKPARA SERAMPORE 712203 | Age | 11 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||