Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08418 | Date 19/12/2024 |
| Token No | SM/24-25/32999 19/12/2024 | Serial | 052 |
| Patient Name | Mrs. TABASSUM BIBI | Contact No | 8479872818 |
| Address | 11/A T C GOSWAMI STREET SERAMPORE 712203 | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||