Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09339 | Date 24/05/2025 |
| Token No | SM/25-26/2547 24/05/2025 | Serial | 038 |
| Patient Name | Mrs. MANIRA KHATUN | Contact No | |
| Address | MALLICKPARA SERAMPORE 712203 | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||