Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05454 | Date 17/10/2023 |
| Token No | SM/24-25/30627 05/11/2024 | Serial | 018 |
| Patient Name | Mrs. RESHMA KHATUN | Contact No | 7003543627 |
| Address | URDIBAZAR KATHIRGHAT CGR SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||