Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08228 | Date 19/11/2024 |
| Token No | SM/24-25/31394 19/11/2024 | Serial | 036 |
| Patient Name | Miss PARVEEN KHATOON | Contact No | 7439825228 |
| Address | 88/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||