Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05487 | Date 20/10/2023 |
| Token No | SM/24-25/31049 13/11/2024 | Serial | 044 |
| Patient Name | Mrs. MUSKAN KHATOON | Contact No | 6290332836 |
| Address | 32 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||