Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08469 | Date 27/12/2024 |
| Token No | SM/24-25/33316 27/12/2024 | Serial | 049 |
| Patient Name | Miss JAHANA KHATUN | Contact No | |
| Address | 37 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||