Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06529 | Date 03/04/2024 |
| Token No | SM/24-25/36156 27/02/2025 | Serial | 025 |
| Patient Name | Miss YASMIN KHATUN | Contact No | 6290409582 |
| Address | 23/A MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||