Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08194 | Date 12/11/2024 |
| Token No | SM/24-25/30993 12/11/2024 | Serial | 065 |
| Patient Name | Miss MOMENA KHATUN | Contact No | 9711366796 |
| Address | 96 MALLICKPARA LANE SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||