Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07400 | Date 09/07/2024 |
| Token No | SM/24-25/30458 01/11/2024 | Serial | 008 |
| Patient Name | Mrs. AJMARE KHATUN | Contact No | 9123767814 |
| Address | 13 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||